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Population Assessment of Tobacco and Health

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A

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B

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C

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D

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G

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TABLE OF CONTENTS

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--

A

Show Card

A-1

  1. No, not of Hispanic, Latino or Latina, or Spanish origin
  2. Yes, Mexican, Mexican American, Chicano or Chicana
  3. Yes, Puerto Rican
  4. Yes, Cuban
  5. Yes, another Hispanic, Latino or Latina, or Spanish origin

A-2

  1. White
  2. Black or African American
  3. American Indian or Alaska Native
  4. Asian Indian
  5. Chinese
  6. Filipino
  7. Japanese
  8. Korean
  9. Vietnamese
  10. Other Asian
  11. Native Hawaiian
  12. Guamanian or Chamorro
  13. Samoan
  14. Other Pacific Islander

A-3

  1. Yes, born in the United States
  2. Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas
  3. Yes, born abroad of U.S. citizen parent or parents
  4. Yes, U.S. citizen by naturalization
  5. No, not a U.S. citizen

A-4

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious

A-5

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

A-6

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

A-7

  1. 1 or more puffs but never a whole cigarette
  2. 1 cigarette
  3. 2 to 10 cigarettes (about ½ pack total)
  4. 11 to 20 cigarettes (about ½ pack to 1 pack)
  5. 21 to 50 cigarettes (more than 1 pack but less than 3 packs)
  6. 51 to 99 cigarettes (more than 2 ½ packs but less than 5 packs)
  7. 100 or more cigarettes (5 packs or more)

A-8

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

A-9

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

A-10

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

A-11

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

A-12

  1. Less than 1 cigarette per day
  2. 1 cigarette per day
  3. 2 to 5 cigarettes per day
  4. 6 to 10 cigarettes per day
  5. 11 to 20 cigarettes per day
  6. More than 20 cigarettes per day

A-13

  1. I gave someone else money to buy cigarettes for me
  2. I asked someone to give me a cigarette
  3. Someone offered me a cigarette
  4. I took cigarettes from a store or another person
  5. I got cigarettes some other way (SPECIFY)

A-14

  1. A convenience store or gas station
  2. A supermarket, grocery store, or drug store
  3. A warehouse club, such as Sam's or Costco
  4. A smoke shop, tobacco specialty store, or tobacco outlet store
  5. A duty free shop or military commissary
  6. A bar, pub, restaurant, or casino
  7. A friend or relative
  8. A swap meet or flea market
  9. A store on an Indian reservation
  10. A liquor store
  11. Somewhere else (SPECIFY)

A-15

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

B-1

E-cigarettes and other electronic nicotine products

B-2

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious

B-3

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

B-4

  1. Tobacco-flavored
  2. Menthol
  3. Mint
  4. Clove or spice
  5. Fruit
  6. Chocolate
  7. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  8. A non-alcoholic drink (such as coffee, soda, energy drinks, or other beverages)
  9. Candy, desserts, or other sweets
  10. Some other flavor (SPECIFY)

B-5

  1. 1 time, even just a few puffs
  2. 2 to 10 times
  3. 11 to 20 times
  4. 21 to 50 times
  5. 51 to 99 times
  6. 100 or more times

B-6

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

B-7

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

B-8

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

B-9

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

B-10

  1. E-cigarette including a pod device, vape pen, tank system, or mod
  2. E-cigar
  3. E-pipe
  4. E-hookah including a hookah pen
  5. Something else (SPECIFY)

B-11

  1. A disposable device
  2. A device that uses replaceable pods or cartridges
  3. A device with a tank that you refill with liquids
  4. A mod system
  5. Something else (SPECIFY)

B-12

7 e-product groups. Group 1 shows examples of disposable and cartridge e-cigarettes. Group 2 shows examples of tank pen e-cigarettes and a box tank e-cigarette. Group 3 shows examples of an e-cigar. Group 4 shows an example of an e-pipe. Group 5 shows examples of disposable and cartridge tank pens. Group 6 shows examples of pod e-cigarettes shaped like sticks or thumb drives. Group 7 shows examples of pod e-cigarettes shaped like squares or raindrops.

B-13

  1. At least once a day
  2. Once every couple of days
  3. Once a week
  4. A few times a month
  5. Once a month
  6. A few times a year
  7. Once a year
  8. Never

B-14

  1. I don’t know the concentration
  2. 1-3mg/mL or 0.1-0.3%
  3. 4-6mg/mL or 0.4-0.6%
  4. 7-12mg/mL or 0.7-1.2%
  5. 13-17mg/mL or 1.3-1.7%
  6. 18-24mg/mL or 1.8-2.4%
  7. 25-39mg/mL or 2.5-3.9%
  8. 40-49mg/mL or 4.0-4.9%
  9. 50-59mg/mL or 5.0-5.9%
  10. 60+mg/mL or 6.0+%

B-15

  1. Tobacco-flavored
  2. Menthol
  3. Mint
  4. Clove or spice
  5. Fruit
  6. Chocolate
  7. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  8. A non-alcoholic drink (such as coffee, soda, energy drinks, or other beverages)
  9. Candy, desserts, or other sweets
  10. Some other flavor (SPECIFY)

B-16

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never

B-17

  1. I gave someone else money to buy it/them for me
  2. I asked someone to give me some/one
  3. Someone offered it/them to me
  4. I took it/them from a store or another person
  5. I got it/them some other way (SPECIFY)

B-18

  1. A vape shop or vapor lounge
  2. A convenience store or gas station
  3. A mall kiosk
  4. A supermarket, grocery store, or drug store
  5. A warehouse club, such as Sam’s or Costco
  6. A smoke shop, tobacco specialty store, or tobacco outlet store
  7. A duty free shop or military commissary
  8. A bar, pub, restaurant, or casino
  9. A friend or relative
  10. A swap meet or flea market
  11. A liquor store
  12. Somewhere else (SPECIFY)

B-19

Response scale with four tick marks and the numbers 1, 2, 3, and 4. Number 1 on the left side equates to &quotnot true of me at all". Number 4 on the right side equates to &quotevery true of me".

B-20

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

C-1

Traditional cigars

C-2

Cigarillos and filtered cigars

C-3

Traditional cigars, cigarillos with tips, cigarillos without tips, filtered cigars.

C-4

Cigarillos with a plastic or wooden tip, filtered cigars with a filter like a cigarette filter, cigarillos without a tip or filter

C-5

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious
Traditional cigars

C-6

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

C-7

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious
Cigarillos

C-8

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious
Filtered cigars

C-9

3 cigar groups. Group 1 shows examples of traditional cigars. Group 2 shows examples of cigarillos with and without plastic and wood tips. Group 3 shows examples of filtered cigars.

C-10

Traditional cigars

C-11

Cigarillos

C-12

Filtered cigars

C-13

Traditional cigars

C-14

Cigarillos

C-15

Filtered cigars

C-16

  1. Menthol
  2. Mint
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

C-17

  1. 1 or more puffs but never a whole one
  2. 1
  3. 2 to 10
  4. 11 to 20
  5. 21 to 50
  6. 51 to 99
  7. 100 or more

C-18

4 cigar groups. Group 1 shows examples of traditional cigars. Group 2 shows examples of cigarillos with plastic and wood tips. Group 3 shows examples of cigarillos without tips. Group 4 shows examples of filtered cigars.

C-19

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

C-20

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

C-21

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

C-22

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

C-23

  1. Less than 1 per day
  2. 1 per day
  3. 2 to 5 per day
  4. 6 to 10 per day
  5. 11 to 20 per day
  6. More than 20 per day

C-24

  1. Menthol
  2. Mint
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

C-25

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never

C-26

  1. I gave someone else money to buy them for me
  2. I asked someone to give me one
  3. Someone offered it to me
  4. I took them from a store or another person
  5. I got them some other way (SPECIFY)

C-27

  1. A cigar bar
  2. A convenience store or gas station
  3. A supermarket, grocery store, or drug store
  4. A warehouse club, such as Sam's or Costco
  5. A smoke shop, tobacco specialty store, or tobacco outlet store
  6. A duty free shop or military commissary
  7. A bar, pub, restaurant, or casino
  8. A friend or relative
  9. A swap meet or flea market
  10. A liquor store
  11. Somewhere else (SPECIFY)

C-28

Response scale with four tick marks and the numbers 1, 2, 3, and 4. Number 1 on the left side equates to &quotnot true of me at all". Number 4 on the right side equates to &quotevery true of me".

C-29

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

D-1

Pipe and pipe tobacco

D-2

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

D-3

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

D-4

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

D-5

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

D-6

  1. Less than 1 bowl per day
  2. 1 bowl per day
  3. 2 to 5 bowls per day
  4. 6 to 10 bowls per day
  5. 11 to 20 bowls per day
  6. More than 20 bowls per day

D-7

  1. I gave someone else money to buy it for me
  2. I asked someone to give me some
  3. Someone offered it to me
  4. I took it from a store or another person
  5. I got it some other way (SPECIFY)

D-8

  1. A convenience store or gas station
  2. A supermarket, grocery store, or drug store
  3. A warehouse club, such as Sam's or Costco
  4. A smoke shop, tobacco specialty store, or tobacco outlet store
  5. A duty free shop or military commissary
  6. A bar, pub, restaurant, or casino
  7. A friend or relative
  8. A swap meet or flea market
  9. A liquor store
  10. Somewhere else (SPECIFY)

E-1

Hookah and shisha tobacco

E-2

Hookah

E-3

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious

E-4

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

E-5

  1. Menthol
  2. Mint
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

E-6

  1. In your home
  2. In someone else's home
  3. In a hookah bar or café
  4. In a dance club or lounge
  5. Somewhere else (SPECIFY)

E-7

  1. 1
  2. 2 to 10
  3. 11 to 20
  4. 21 to 50
  5. 51 to 99
  6. 100 or more

E-8

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

E-9

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

E-10

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

E-11

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

E-12

  1. Every time
  2. Most of the time
  3. Some of the time
  4. Rarely
  5. Never

E-13

  1. Every time
  2. Most of the time
  3. Some of the time
  4. Rarely
  5. Never, someone else always sets it up for me

E-14

  1. In your home
  2. In someone else's home
  3. In a hookah bar or café
  4. In a dance club or lounge
  5. Somewhere else (SPECIFY)

E-15

  1. Menthol
  2. Mint
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

E-16

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never

E-17

  1. I gave someone else money to buy it for me
  2. I asked someone to give me some
  3. Someone offered it to me
  4. I took it from a store or another person
  5. I got it some other way (SPECIFY)

E-18

  1. A hookah bar or café
  2. A convenience store or gas station
  3. A supermarket, grocery store, or drug store
  4. A warehouse club, such as Sam’s or Costco
  5. A smoke shop, tobacco specialty store, or tobacco outlet store
  6. A duty free shop or military commissary
  7. A bar, pub, restaurant, or casino
  8. A friend or relative
  9. A swap meet or flea market
  10. A liquor store
  11. Somewhere else (SPECIFY)

E-19

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

F-1

Smokeless tobacco

F-2

Snus

F-3

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious

F-4

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

F-5

  1. Menthol
  2. Mint, wintergreen, spearmint, or frost
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

F-6

  1. 1
  2. 2 to 10
  3. 11 to 20
  4. 21 to 50
  5. 51 to 99
  6. 100 or more

F-7

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

F-8

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

F-9

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

F-10

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

F-11

  1. Menthol
  2. Mint, wintergreen, spearmint, or frost
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

F-12

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never

F-13

Snus pouches and loose snus

F-14

  1. I gave someone else money to buy it for me
  2. I asked someone to give me some
  3. Someone offered it to me
  4. I took it from a store or another person
  5. I got it some other way (SPECIFY)

F-15

  1. A convenience store or gas station
  2. A supermarket, grocery store, or drug store
  3. A warehouse club, such as Sam's or Costco
  4. A smoke shop, tobacco specialty store, or tobacco outlet store
  5. A duty free shop or military commissary
  6. A bar, pub, restaurant, or casino
  7. A friend or relative
  8. A swap meet or flea market
  9. A liquor store
  10. Somewhere else (SPECIFY)

F-16

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

G-1

Smokeless tobacco

G-2

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious

G-3

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

G-4

  1. Menthol
  2. Mint, wintergreen, spearmint, or frost
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

G-5

  1. 1
  2. 2 to 10
  3. 11 to 20
  4. 21 to 50
  5. 51 to 99
  6. 100 or more

G-6

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

G-7

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

G-8

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

G-9

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

G-10

  1. Menthol
  2. Mint, wintergreen, spearmint, or frost
  3. Clove or spice
  4. Fruit
  5. Chocolate
  6. An alcoholic drink (such as wine, cognac, margarita, or other cocktails)
  7. Candy or other sweets
  8. Some other flavor (SPECIFY)

G-11

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Never

G-12

Loose smokeless tobacco such as moist snuff, dip, spit, or chew and Smokeless tobacco pouches, not including snus.

G-13

  1. I gave someone else money to buy it for me
  2. I asked someone to give me some
  3. Someone offered it to me
  4. I took it from a store or another person
  5. I got it some other way (SPECIFY)

G-14

  1. A convenience store or gas station
  2. A supermarket, grocery store, or drug store
  3. A warehouse club, such as Sam's or Costco
  4. A smoke shop, tobacco specialty store, or tobacco outlet store
  5. A duty free shop or military commissary
  6. A bar, pub, restaurant, or casino
  7. A friend or relative
  8. A swap meet or flea market
  9. A liquor store
  10. Somewhere else (SPECIFY)

G-15

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

H-1

IQOS and HeatSticks.

H-2

  1. Very curious
  2. Somewhat curious
  3. A little curious
  4. Not at all curious

H-3

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

H-4

  1. 1 or more puffs but never a whole HeatStick
  2. 1 to 10 HeatSticks (about ½ pack total)
  3. 11 to 20 HeatSticks (about ½ pack to 1 pack)
  4. 21 to 50 HeatSticks (more than 1 pack but less than 3 packs)
  5. 51 to 99 HeatSticks (more than 2 ½ packs but less than 5 packs)
  6. 100 or more HeatSticks (5 packs or more)

H-5a

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year

H-5b

  1. Earlier today
  2. Not today but sometime in the past 7 days
  3. Not in the past 7 days but sometime in the past 30 days
  4. Not in the past 30 days but sometime in the past 6 months
  5. Not in the past 6 months but sometime in the past year
  6. 1 to 4 years ago
  7. 5 or more years ago

H-6

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

H-7

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

H-8

  1. Less than 1 HeatStick per day
  2. 1 HeatStick per day
  3. 2 to 5 HeatSticks per day
  4. 6 to 10 HeatSticks per day
  5. 11 to 20 HeatSticks per day
  6. More than 20 HeatSticks per day

H-9

  1. I have never bought IQOS
  2. IQOS store
  3. IQOS website
  4. Somewhere else (SPECIFY)

H-10

  1. I gave someone else money to buy it for me
  2. I asked someone to give me one
  3. Someone offered it to me
  4. I took it from a store or another person
  5. I got it some other way (SPECIFY)

H-11

  1. IQOS store
  2. IQOS website
  3. A convenience store or gas station
  4. A supermarket, grocery store, or drug store
  5. A warehouse club, such as Sam's or Costco
  6. A smoke shop, tobacco specialty store, or tobacco outlet store
  7. A duty free shop or military commissary
  8. A bar, pub, restaurant, or casino
  9. A friend or relative
  10. A swap meet or flea market
  11. A liquor store
  12. Somewhere else (SPECIFY)

H-12

Response scale with four tick marks and the numbers 1, 2, 3, and 4. Number 1 on the left side equates to &quotnot true of me at all". Number 4 on the right side equates to &quotevery true of me".

H-13

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

H-14

Bidis.

H-15

Nicotine pouches.

H-16

  1. Zyn
  2. On!
  3. Velo
  4. Rogue
  5. Lucy
  6. Rush
  7. NIIN
  8. FRĒ
  9. Bidi pouches
  10. Something else (SPECIFY)

H-17

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

H-18

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

H-19

Nicotine pouches.

H-20

  1. Velo nicotine lozenges
  2. Rogue nicotine lozenges
  3. Verve nicotine discs
  4. Rogue nicotine tablets
  5. Lucy nicotine gum
  6. Pixotine nicotine toothpicks
  7. Stonewall dissolvable tobacco
  8. Something else (SPECIFY)

I-1

  1. Within 5 minutes
  2. From 6 to 30 minutes
  3. From more than 30 minutes to 1 hour
  4. After more than 1 hour but less than 24 hours
  5. I rarely want to use electronic nicotine products

I-2

Response scale with five tick marks and the numbers 1, 2, 3, 4, and 5. Number 1 on the left side equates to &quotnot true of me at all". Number 5 on the right side equates to &quotextremely true of me".

I-3

  1. Yes, within the next 30 days
  2. Yes, within the next 6 months
  3. Yes, within the year
  4. Yes, but not within the year
  5. No, I am not seriously thinking about quitting

I-4

  1. Within 5 minutes
  2. From 6 to 30 minutes
  3. From more than 30 minutes to 1 hour
  4. After more than 1 hour but less than 24 hours
  5. I rarely want to use tobacco

I-5

  1. Cigarettes
  2. E-cigarettes or other electronic nicotine products
  3. Traditional cigars
  4. Cigarillos
  5. Filtered cigars
  6. Pipes
  7. Shisha or hookah tobacco
  8. Snus
  9. Smokeless tobacco (such as moist snuff, dip, spit, or chew)
  10. IQOS
  11. Bidis
  12. Other (SPECIFY)

I-6

  1. Less than 1 day
  2. 1 to 7 days
  3. More than 7 days but less than 30 days
  4. More than 30 days but less than 6 months
  5. More than 6 months but less than 1 year
  6. 1 year or more

I-7

  1. I am currently wearing a nicotine patch
  2. In the past hour
  3. Sometime today, but more than an hour ago
  4. Yesterday
  5. Day before yesterday
  6. Three or more days ago

I-8

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

I-9

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

J-1

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often

J-2

  1. Not at all believable
  2. A little believable
  3. Somewhat believable
  4. Very believable
  5. Extremely believable

J-3

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

J-4

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
E-cigarettes and other electronic nicotine products

J-5

  1. Not at all believable
  2. A little believable
  3. Somewhat believable
  4. Very believable
  5. Extremely believable

J-6

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

J-7

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Traditional cigars

J-8

  1. Not at all believable
  2. A little believable
  3. Somewhat believable
  4. Very believable
  5. Extremely believable

J-9

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

J-10

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Cigarillos

J-11

  1. Not at all believable
  2. A little believable
  3. Somewhat believable
  4. Very believable
  5. Extremely believable

J-12

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

J-13

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Filtered cigars

J-14

  1. Not at all believable
  2. A little believable
  3. Somewhat believable
  4. Very believable
  5. Extremely believable

J-15

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

J-16

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Pipe and pipe tobacco

J-17

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Hookah and shisha tobacco

J-18

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Snus

J-19

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
Smokeless tobacco

J-20

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often
IQOS and HeatSticks.

J-21

  1. Not at all believable
  2. A little believable
  3. Somewhat believable
  4. Very believable
  5. Extremely believable

J-22

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

K-1

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

K-2

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

K-3

  1. Strongly agree
  2. Agree
  3. Neither agree nor disagree
  4. Disagree
  5. Strongly disagree

K-4

  1. No harm
  2. A little harm
  3. Some harm
  4. A lot of harm

K-5

  1. It will never harm their health
  2. Less than a year
  3. 1 year
  4. 5 years
  5. 10 years
  6. 20 years or more

K-6

  1. Very unlikely
  2. Somewhat unlikely
  3. Neither likely nor unlikely
  4. Somewhat likely
  5. Very likely

K-7

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
E-cigarettes and other electronic nicotine products

K-8

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
Traditional cigars

K-9

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
Cigarillos

K-10

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
Filtered cigars

K-11

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
Hookah and shisha tobacco

K-12

  1. It will never harm their health
  2. Less than a year
  3. 1 year
  4. 5 years
  5. 10 years
  6. 20 years or more

K-13

  1. Very unlikely
  2. Somewhat unlikely
  3. Neither likely nor unlikely
  4. Somewhat likely
  5. Very likely

K-14

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
Snus

K-15

  1. No harm
  2. A little harm
  3. Some harm
  4. A lot of harm

K-16

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
Smokeless tobacco

K-17

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful
IQOS and HeatSticks.

K-18

  1. Strongly agree
  2. Agree
  3. Disagree
  4. Strongly disagree
  5. I don’t know

K-19

  1. Not at all harmful
  2. Slightly harmful
  3. Somewhat harmful
  4. Very harmful
  5. Extremely harmful

K-20

  1. Strongly agree
  2. Agree
  3. Neither agree nor disagree
  4. Disagree
  5. Strongly disagree

K-21

  1. Smoke cigarettes
  2. Use e-cigarettes or other electronic nicotine products
  3. Smoke traditional cigars, cigarillos, or filtered cigars
  4. Smoke hookah
  5. Use snus
  6. Use smokeless tobacco (such as moist snuff, dip, spit, or chew)
  7. Use IQOS
  8. Use nicotine pouches (such as Zyn, on!, or Velo)
  9. Use other types of oral nicotine products (such as Velo lozenges, Rogue tablets, Lucy gum, or Pixotine toothpicks)
  10. Use any other form of tobacco
  11. No one who lives with me now uses any form of tobacco

K-22

  1. 0 days
  2. 1 or 2 days
  3. 3 to 5 days
  4. 6 to 9 days
  5. 10 to 19 days
  6. 20 to 29 days
  7. All 30 days

L-1

  1. Excellent
  2. Very good
  3. Good
  4. Fair
  5. Poor

L-2

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often

L-3

  1. 3 or more times per day
  2. 1 or 2 times per day
  3. 2 or 3 times per week
  4. Once a week or less
  5. Not at all

L-4

  1. All of the time
  2. Most of the time
  3. Some of the time
  4. A little of the time
  5. None of the time

L-5

  1. More than once a day
  2. Once a day
  3. 3-6 times a week
  4. Once or twice a week
  5. None at all

L-6

  1. 4 or more nights a week
  2. 2 or 3 nights
  3. Once a week
  4. Once or twice
  5. Not at all

L-7

  1. Quick-relief inhaler –
    for example: albuterol (ProAir, Ventolin, Xopenex), ipratropium (Atrovent), or a combination inhaler (Combivent)
  2. Controller or long-acting inhaler including steroid inhaler –
    for example: beclomethasone (Qvar), fluticasone (Flovent), salmeterol (Serevent), tiotropium (Spiriva), or a combination inhaler (Advair)
  3. Other controlling medication –
    for example: montelukast (Singulair), zafirlukast (Accolate), theophylline, roflumilast (Daliresp)
  4. Other asthma medication

L-8

  1. 3 or more times per day
  2. 1 or 2 times per day
  3. 2 or 3 times per week
  4. Once a week or less
  5. Not at all

L-9

  1. Not controlled at all
  2. Poorly controlled
  3. Somewhat controlled
  4. Well controlled
  5. Completely controlled

L-10

  1. Ibuprofen (Motrin, Advil, Naprosyn, or Aleve)
  2. Acetaminophen (Tylenol)
  3. Aspirin
  4. Cox-2 inhibitors (Celebrex)

L-11

  1. I am currently wearing a nicotine patch
  2. In the past hour
  3. Sometime today, but more than an hour ago
  4. Yesterday
  5. Day before yesterday
  6. Three or more days ago

L-12

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

L-13

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

L-14

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Not at all
  6. I cannot avoid these places as I work in them
  7. I almost never went to these places even before the coronavirus pandemic

L-15

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Not at all
  6. I almost never went to these places even before the coronavirus pandemic

L-16

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Not at all
  6. I almost never saw family in-person outside my home even before the coronavirus pandemic

L-17

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Not at all
  6. I almost never saw friends in-person outside my home even before the coronavirus pandemic

L-18

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Not at all

L-19

  1. All of the time
  2. Most of the time
  3. Sometimes
  4. Rarely
  5. Not at all
  6. I haven't had contact with others outside my home

L-20

  1. I now use tobacco and nicotine more than before the coronavirus pandemic started.
  2. I now use tobacco and nicotine about the same as before the coronavirus pandemic started.
  3. I now use tobacco and nicotine less than before the coronavirus pandemic started.

L-21

  1. I quit using tobacco and nicotine.
  2. I am thinking of quitting using tobacco and nicotine.
  3. I am trying to quit using tobacco and nicotine.
  4. It has had no effect at all on my intentions to quit using tobacco and nicotine.

L-22

  1. A lot more severe for smokers
  2. Somewhat more severe
  3. About the same
  4. Somewhat less severe
  5. A lot less severe for smokers

L-23

  1. A lot more severe for users
  2. Somewhat more severe
  3. About the same
  4. Somewhat less severe
  5. A lot less severe for users

L-24

  1. None
  2. Mild (such as occasional worries; feeling a little anxious, sad, or angry; or having mild trouble sleeping)
  3. Moderate (such as frequent worries; feeling moderately anxious, sad, or angry; or having moderate trouble sleeping)
  4. Severe (such as persistent worries; feeling extremely anxious, sad, or angry; or having severe trouble sleeping)

L-25

  1. None
  2. Half hour or less
  3. About 1 hour
  4. About 2 hours
  5. About 3 hours
  6. About 4 hours
  7. About 5 hours
  8. About 6 hours
  9. 7 hours or more

L-26

  1. None
  2. Less than 1 hour
  3. 1 to 2 hours
  4. 3 to 4 hours
  5. 5 to 6 hours
  6. 7 to 8 hours
  7. 9 to 10 hours
  8. 11 hours or more

L-27

  1. Instagram
  2. Twitter
  3. Facebook
  4. YouTube
  5. Snapchat
  6. TikTok
  7. Discord
  8. Reddit
  9. Pinterest
  10. LinkedIn
  11. Twitch
  12. Something else (SPECIFY)

L-28

  1. More than once a day
  2. About once a day
  3. A few times in the past 2 weeks
  4. About once in the past 2 weeks

L-29

  1. News about them
  2. Instructions for using them
  3. Benefits of using them (examples: stress relief, vape tricks)
  4. Jokes or memes about using them
  5. Pictures or video of people using the product
  6. Reviews of them
  7. Information on how to quit
  8. Negative health consequences of using them (including public health messages)
  9. Something else (SPECIFY)

L-30

  1. Friends or people I know in real life
  2. Friends or people I know only online
  3. Social media influencers or celebrities
  4. E-cigarette brands or vape shops
  5. News media
  6. Public health message (examples: Truth Initiative, Real Cost)
  7. Other (SPECIFY)

L-31

  1. Liked
  2. Commented
  3. Clicked on
  4. None of the above

L-32

  1. JUUL
  2. Vuse
  3. Blu
  4. NJOY
  5. eGo
  6. Smok
  7. Puff
  8. Black & Mild
  9. Swisher Sweets
  10. Dutch Masters
  11. Phillies Blunts
  12. Zig Zag
  13. Camel
  14. Marlboro
  15. Newport
  16. American Spirit
  17. IQOS
  18. Skoal
  19. America's Best Chew (formerly known as Red Man)
  20. Grizzly
  21. Copenhagen
  22. Some other brand (SPECIFY)

L-33

  1. Cigarettes
  2. E-cigarettes or other electronic nicotine products
  3. Traditional cigars
  4. Cigarillos
  5. Filtered cigars
  6. Pipe tobacco
  7. Shisha or hookah tobacco
  8. Snus
  9. Smokeless tobacco (such as moist snuff, dip, spit, or chew)
  10. IQOS
  11. Nicotine pouches (such as Zyn, on!, or Velo)
  12. Other types of oral nicotine products (such as Velo lozenges, Rogue tablets, Lucy gum, or Pixotine toothpicks)
  13. Some other type of product (SPECIFY)
  14. None of the above

L-34

Tips campaign logo. A tip from a former smoker (registered trademark) is in white text and in a black box.

L-35

Truth campaign logo. The word truth is created with orange dots.

L-36

Real cost campaign logo. Phrase &quotKnow the real cost." is at the top. The real cost is written out in black block letters, and there is a black triangle with an exclamation point.

L-37

  1. Cigarettes
  2. E-cigarettes or other electronic nicotine products (including e-liquid)
  3. Traditional cigars
  4. Cigarillos
  5. Filtered cigars
  6. Shisha or hookah tobacco
  7. Snus
  8. Smokeless tobacco (such as moist snuff, dip, spit, or chew)
  9. IQOS
  10. Nicotine pouches (such as Zyn, on!, or Velo)
  11. Other types of oral nicotine products (such as Velo lozenges, Rogue tablets, Lucy gum, or Pixotine toothpicks)
  12. Some other type of product
  13. None of the above

L-38

  1. Not at all
  2. Once in the past 30 days
  3. 2-3 times in the past 30 days
  4. Once a week
  5. 2-3 times per week
  6. Almost every day

L-39

  1. Never
  2. Rarely
  3. Sometimes
  4. Often

L-40

  1. I have not seen any advertisements in the past 30 days
  2. At smoke shops, vape shops, tobacco specialty stores, or tobacco outlet stores
  3. At convenience stores, drug stores, supermarkets, gas stations, kiosks/storefronts, or shopping centers
  4. On billboards
  5. In newspapers or magazines
  6. On radio
  7. On television
  8. At events such as fairs, festivals, or sporting events
  9. At nightclubs, bars, or music concerts
  10. In email messages
  11. On social media
  12. On other websites online
  13. Somewhere else (SPECIFY)

L-41

  1. Switching completely from cigarettes to IQOS reduces your body's exposure to harmful chemicals
  2. So close to a cigarette, it's easy to forget
  3. This product greatly reduces your nicotine consumption
  4. If you smoke, consider this: Switching completely to this product from cigarettes reduces risk of lung cancer
  5. None of the above

L-42

  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Very often

L-43

  1. Not at all
  2. A little
  3. Somewhat
  4. A lot

L-44

  1. Definitely yes
  2. Probably yes
  3. Probably not
  4. Definitely not

L-45

  1. Very positive
  2. Positive
  3. Neither positive nor negative
  4. Negative
  5. Very negative

L-46

  1. Cigarettes
  2. E-cigarettes or other electronic nicotine products
  3. Traditional cigars
  4. Cigarillos
  5. Filtered cigars
  6. Pipe tobacco
  7. Shisha or hookah tobacco
  8. Snus
  9. Smokeless tobacco (such as moist snuff, dip, spit, or chew)
  10. IQOS
  11. Nicotine pouches (such as Zyn, on!, or Velo)
  12. Other types of oral nicotine products (such as Velo lozenges, Rogue tablets, Lucy gum, or Pixotine toothpicks)
  13. None of the above

L-47

  1. None
  2. A few
  3. Some
  4. Most
  5. All

L-48

  1. No
  2. Yes, inside a school bathroom or locker room
  3. Yes, inside a classroom
  4. Yes, inside some other area of the school, such as the hallway or cafeteria
  5. Yes, outside of the school, such as in the parking lot, sidewalk, or other school grounds
  6. Yes, somewhere else at school not listed here (SPECIFY)

L-49

  1. Very easy
  2. Somewhat easy
  3. Somewhat difficult
  4. Very difficult

L-50

  1. Very unlikely
  2. Somewhat unlikely
  3. Neither likely nor unlikely
  4. Somewhat likely
  5. Very likely

M-1

  1. Past month
  2. 2 to 12 months ago
  3. Over a year ago
  4. Never

M-2

  1. Never
  2. Almost never
  3. Sometimes
  4. Fairly often
  5. Very often

M-3

  1. Strongly agree
  2. Agree
  3. Neither agree nor disagree
  4. Disagree
  5. Strongly disagree

M-4

  1. THC only
  2. THC and CBD
  3. CBD only
  4. I don't know

M-5

  1. Smoke dried herb or flower in a joint, pipe, hookah, or bong
  2. Smoke dried herb or flower in a blunt cigar, cigarillo, or filtered cigar
  3. Vape marijuana liquids or oils in an e-cigarette, vape pen, or electronic product
  4. Dab concentrates in a dab pen or electronic product (for example: waxes, budder, or shatter)
  5. Eat or drink marijuana (for example: in brownies, candy, teas, or pills)
  6. Use marijuana some other way (SPECIFY)

M-6

  1. In the past hour
  2. Sometime today, but more than an hour ago
  3. Yesterday
  4. Day before yesterday
  5. Three or more days ago

M-7

  1. Between midnight and 6AM
  2. After 6AM but before noon
  3. Between noon and 6PM
  4. After 6PM but before midnight

M-8

  1. Ritalin® or Adderall®
  2. Painkillers
  3. Sedatives or tranquilizers

M-9

  1. Cocaine or crack
  2. Stimulants like methamphetamine or speed
  3. Heroin
  4. Inhalants or solvents
  5. Hallucinogens

M-10

  1. Ritalin® or Adderall®
  2. Painkillers
  3. Sedatives or tranquilizers
  4. None of the above

M-11

  1. Cocaine or crack
  2. Stimulants like methamphetamine or speed
  3. Heroin
  4. Inhalants or solvents
  5. Hallucinogens
  6. None of the above

M-12

  1. 4th grade or below
  2. 5th
  3. 6th
  4. 7th
  5. 8th
  6. 9th
  7. 10th
  8. 11th
  9. 12th grade
  10. College, vocational, or technical school
  11. Not enrolled
  12. I am home-schooled
  13. My school is ungraded

M-13

  1. 4th grade or below
  2. 5th
  3. 6th
  4. 7th
  5. 8th
  6. 9th
  7. 10th
  8. 11th
  9. 12th grade
  10. College, vocational, or technical school
  11. I am home-schooled
  12. My school is ungraded

M-14

  1. None
  2. Less than $1
  3. $1 to $5
  4. $6 to $10
  5. $11 to $20
  6. $21 to $50
  7. $51 to $100
  8. $101 to $150
  9. $151 or more

M-15

  1. Yes, now on active duty
  2. Yes, on active duty in the past, but not now
  3. No, training for Reserves or National Guard only
  4. No, never served in the military

M-16

  1. Army
  2. Navy
  3. Air Force
  4. Marine Corps
  5. Coast Guard
  6. Space Force

M-17

  1. Male
  2. Female
  3. Transgender
  4. I use a different term (SPECIFY)

M-18

  1. Male
  2. Female
  3. Transgender
  4. Two-Spirit
  5. I use a different term (SPECIFY)

M-19

  1. Lesbian or gay
  2. Straight, that is, not gay or lesbian
  3. Bisexual
  4. I use a different term (SPECIFY)

M-20

  1. Lesbian or gay
  2. Straight, that is, not gay or lesbian
  3. Bisexual
  4. Two-Spirit
  5. I use a different term (SPECIFY)
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 last updated: 1/3/2024 

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