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AppendixUNITED ARAB EMIRATES The Ministry of Health UAE Supervised by The Eastern Mediterranean Regional Office – World Health Organization The Executive Office of the Health Ministries of the GCC Countries Office of Tobacco and Health – Centers for Disease Control and Prevention
We thank you for accepting to participate in the National Tobacco Youth Survey, the results of which will help us in planning effectively to control the tobacco epidemic among community members and prevent the occurrence of smoking related diseases such as cancer and heart disease. Please answer the questions sincerely and punctually, and we assure you that this information is classified and will be used in the context of scientific research and for planning purposes. Useful tips
THE NEXT 18 QUESTIONS ASK ABOUT YOUR USE OF TOBACCO 1. Have you ever tried or experienced with cigarette smoking, even one or two puffs?
2. How old were you when you first tried a cigarette?
3. During the past 30 days (one month), on how many days did you smoke cigarettes?
4. During the past 30 days (one month), on the days you smoked, how many cigarettes did you usually smoke?
5. During the past 30 days (one month), how did you usually get your
own cigarettes?
6. During the past 30 days (one month), what brand of cigarettes did
you usually smoke?
7. How much do you usually pay for a pack of 20 cigarettes?
8. During the past 30 days (one month) how much do you think you spent on cigarettes?
9. In a usual month (30 days) how much pocket money (allowance) do you get?
10. During the past 30 days (one month), did anyone ever refuse to sell you cigarettes because of your age?
11. Where do you usually smoke cigarettes?
12. Have you ever tried or experienced with SHISHA (Hubble-Bubble) smoking, even one or two puffs?
13. How old were you when you first tried a SHISHA (Hubble-Bubble)?
14. During the past 30 days (one month), on how many days did you smoke SHISHA (Hubble-Bubble)?
15. During the past 30 days (one month), on the days you smoked, how many SHISHA (Hubble-Bubble) heads did you usually smoke?
16. Where do you usually smoke SHISHA (Hubble-Bubble)?
17. During the past 30 days (one month), have you ever used any form of tobacco products other than cigarettes or SHISHA (Hubble-Bubble), for example: cigars, pipe, little cigars, chewing tobacco, snuff, dip)?
18. Do you ever have a cigarette or feel like having a cigarette first thing in the morning?
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THE NEXT 17 QUESTIONS ASK ABOUT YOUR KNOWLEDGE AND ATTITUDES TOWARD TOBACCO. 19. Do your parents smoke?
20. If one of your best friends offered you a cigarette, would you smoke it?
21. Has anyone in your family discussed the harmful effects of smoking with you?
22. At any time during the next 12 months do you think you will smoke a cigarette?
23. Do you think you will be smoking cigarettes 5 years from now?
24. Once someone has started smoking, do you think it would be difficult to quit?
25. Do you think boys who smoke cigarettes have more or less friends?
26. Do you think girls who smoke cigarettes have more or less friends?
27. Does smoking cigarettes help people feel more or less comfortable at celebrations, parties, or other social gatherings?
28. Do you think smoking cigarettes makes boys look more or less attractive?
29. Do you think smoking cigarettes makes girls look more or less attractive?
30. Do you think that smoking cigarettes makes you gain or lose weight?
31. Do you think that smoking cigarettes is harmful to your health?
32. Do any of your closest friends smoke cigarettes?
33. When you see a man smoking, what do you think of him?
34. When you see a woman smoking, what do you think of her?
35. Do you think it is safe to smoke for only a year or two as long as you quit after that?
THE NEXT 4 QUESTIONS ASK ABOUT YOUR EXPOSURE TO OTHER PEOPLE’S SMOKING 36. Do you think the smoke from other people’s cigarettes is harmful to you?
37. During the past 7 days, on how many days have people smoked in your home, in your presence?
38. During the past 7 days, on how many days have people smoked in your presence, in places other than in your home?
39. Are you in favor of banning smoking in public places (such as in restaurants, in buses, streetcars, and trains, in schools, on playgrounds, in gyms and sports arenas, in pubs and discos)?
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THE NEXT 6 QUESTIONS ASK ABOUT YOUR ATTITUDES TOWARD STOPPING SMOKING 40. Do you want to stop smoking now?
41. During the past year, have your ever tried to stop smoking cigarettes?
42. How long ago did you stop smoking?
43. What was the main reason you decided to stop smoking?
44. Do you think you would be able to stop smoking if you wanted to?
45. Have you ever-received help or advice to help you stop smoking?
THE NEXT 9 QIESTIONS ASK ABOUT YOUR KNOWLEDGE OF MEDIA MESSAGES ABOUT SMOKING 46. During the past 30 days (one month), how many anti-smoking media messages (e.g., television, radio, billboards, posters, newspapers, magazines, and movies) have you seen or heard?
47. When you go to sports events, fairs, concerts, community events, or social gatherings, how often do you see anti-smoking messages?
48. When you watch TV, videos, DVD’s or movies, how often do you see actors smoking?
49. Do you have something (t-shirt, pen, backpack, etc.) with a cigarette brand logo on it?
50. During the past 30 days (one month), when you watched sports events or other programs on TV how often did you see cigarette brand names?
51. During the past 30 days (one month), how many advertisements for cigarettes have you seen on billboards?
52. During the past 30 days (one month), how many advertisements or promotions for cigarettes have you seen in newspapers or magazines?
53. When you go to sports events, fair, concerts, or community events, how often do you see advertisements for cigarettes?
54. Has a cigarette representative ever offered you a free cigarette?
THE NEXT 4 QUESTIONS ASK ABOUT WHAT YOUY WERE TAUGHT ABOUT SMOOKING IN SCHOOL 55. During this school year, were you taught in any of your classes about the danger of smoking?
56. During this school year, did you discuss in any of your classes the reasons why people your age smoke?
57. During this school year, were you taught in any of your classes about the effects of smoking like it makes your teeth yellow, causes wrinkles, or makes you smell bad?
58.How long ago did you last discuss smoking and health as part of a lesson?
THE LAST 4 QUESTIONS ASK FOR SOME BACKGROUND INFORMATION ABOUT YOURSELF 59.How old are you?
60.What is your sex?
61.In what grade are you?
62.What is your nationality?
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