Data elements found in
Personal Smoking History
Have You Ever Smoked Any Cigarettes
do You Smoke Any Cigarettes at the Present Time
How Many Cigarettes Smoked Per Day on Average
Did You Ever Regularly Smoke More Than This
if Yes What Was the Maximum Number Per Day
Age When Started Smoking Cigarettes Regularly
Number of Years Smoking
Over Entire Life -Smoked 5-10 Packs of Cigarettes
How Many Years Ago Stopped Smoking
Have You Ever Smoked Any Cigars
do You Smoke Any Cigars at the Present Time
How Many Cigars Smoked Per Day on Average
Did You Ever Regularly Smoke More Than This
if Yes What Was the Maximum Number Per Day
Age When Started Smoking Cigars Regularly
How Many Years Been Smoking Cigars
Over Entire Life Ever Smoke 50-75 Cigars
How Many Years Ago Stopped Smoking Cigars
Have You Ever Smoked a Pipe
do You Smoke a Pipe at the Present Time
How Many Pipefuls Smoked Per Day on Average
Did You Ever Regularly Smoke More Than This
if Yes What Was the Maximum Number Per Day
Age When Started Smoking a Pipe Regularly
How Many Years Smoking a Pipe
Over Entire Life Ever Smoke 3-5 Packs of Tobacco
Number of Years Ago Stopped Smoking a Pipe
Father Living
Father Smoke
Father Smoke Cigarettes
Father Smoke Cigars
Father Smoke a Pipe
Mother Living
Mother Smoke
Mother Smoke Cigarettes
Mother Smoke Cigars
Mother Smoke a Pipe
Reason for Form Not Being Filled Out
Ever Smoked at Least 100 Cigarettes (5 Packs)
Smoke Cigarettes at Present Time
Average Cigarettes Smoked Per Day
How Soon After Wake, Smoke First Cigarette
Avg. Lifetime Use, When Smoked Per Day
How Old Started Smoking Cigarettes Regularly
How Many Years Smoked Cigarettes Regularly
Seriously Tried Quit Smoking Cigarettes
Try to Quit - Keep my Health
Try to Quit - Take Control of Life
Try to Quit - Please/Help Loved One
Try to Quit - Example for Children/Grands
Try to Quit - to Save Money
Try to Quit - Doc/Nurse/Provider Told me
Try to Quit - do Not Like Smell
Try to Quit - Most Friends Donot Smoke
Try to Quit - Have Health Problem
Ever Try Quit by Personal Counsel/Advice
Ever Try Quit by Group Program/Clinic
Ever Try Quit by Prescription Gum/Patch/Device
Ever Try Quit by Guide/Magazine on Own
Ever Try Quit by Over-Counter Aid
Ever Try Quit, no Outside Help
Recent Method - Never Successfully Quit
Recent Method - Reduce No. of Cigarettes
Recent Method - Lower Tar/Brand
Recent Method - Set Definite Quit Date
Recent Method - Threw All Cigarettes Away
Recent Method - Gave Self Rewards
Recent Method - Time Around Non-Smokers
Recent Method - Deep Breathing
Recent Method - Physical Exercise
Recent Method - Family/Friends/Co-Wk Support
Sucess Quit Cigarettes - Most Recent
Age if Quit Cigarette More Than 24 Months Ago
Ever Smoked at 50 Cigars in Entire Life
Smoke Any Cigars at Present Time
Cigars Smoke Currently Per Day, Average
Cigars, Average Use Over Lifetime
Cigars, Age Started Smoking Regularly
Cigars, Years Smoked Regularly
Cigars, Successfully Quit Smoking
Cigars, Age Quit if >
24 Months Ago
Pipe, Smoked 3-5 Packages in Lifetime
Pipe, Smoke at Present Time
Pipefuls, Currently Smoke Day on Average
Pipefuls, Average Use Over Lifetime
Pipe, Age Started Smoking
Pipe, Years Have Smoked
Pipe, Successfully Quit Most Recent
Pipe, Age Quit if >
24 Months Ago
Tobacco Smoke, Hours Exposed to Others
Tobacco Smoke, Hours Exposed, 2 Weeks
Tobacco Smoke, 2 Week Typical Exposure
Tobacco Smoke, Typical Exposure, 2 Weeks
Tobacco Smoke, Typical Exposure, 2 Weeks
Details
for this Data Type
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