Canadian Tobacco and Nicotine Survey
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Demographics 2 (DEM2)
- Gender (GDR)
- Demographics (DEM)
- Tobacco (TBC)
- Other tobacco product status (OTP)
- Vaping (VAP)
- Cannabis (CAN)
- Initial use (IU)
- Alcohol (ALC)
- Feedback (FDB)
Demographics 2 (DEM2)
Demographics 2 (DEM2) - Question identifier:DEM2_Q05
Including yourself, how many people live in your household?
Min = 1; Max = 20
Demographics 2 (DEM2) - Question identifier:DEM2_Q10
Including yourself, how many of these people are [25] years of age or more?
Min = 0; Max = 20
Gender (GDR)
Gender (GDR) - Question identifier:GDR_Q10
What is your gender?
Is it:
- 1: Male
- 2: Female
- 3: Or please specify
Demographics (DEM)
Demographics (DEM) - Question identifier:DEM_Q15A
What is your date of birth?
Year
Min = 1897; Max = 2018
Demographics (DEM) - Question identifier:DEM_Q15B
What is your date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Demographics (DEM) - Question identifier:DEM_Q15C
What is your date of birth?
Day
Min = 1; Max = 31
Demographics (DEM) - Question identifier:DEM_Q20
What is your age?
Min = 0; Max = 999
Demographics (DEM) - Question identifier:DEM_Q25
What is your age group?
- 1: 15 to 24 years
- 2: 25 to 34 years
- 3: 35 to 44 years
- 4: 45 to 54 years
- 5: 55 to 64 years
- 6: 65 years and over
Demographics (DEM) - Question identifier:DEM_Q30
To determine which geographic region you live in, please provide your postal code.
Long Answer Length = 6
Tobacco (TBC)
Tobacco (TBC) - Question identifier:TBC_R05
The following questions are about cigarette smoking.
Include ready-made cigarettes as well as those you make yourself.
Exclude e-cigarettes or vaping devices.
Tobacco (TBC) - Question identifier:TBC_Q05A
Have you ever smoked a whole cigarette?
- 1: Yes
- 2: No
Tobacco (TBC) - Question identifier:TBC_Q05B
How old were you when you smoked your first whole cigarette?
Min = 0; Max = 999
Tobacco (TBC) - Question identifier:TBC_Q10A
During the past 30 days, how often did you smoke cigarettes?
Was it:
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Tobacco (TBC) - Question identifier:TBC_Q10B
During the past 30 days, on how many days did you smoke cigarettes?
Min = 1; Max = 30
Tobacco (TBC) - Question identifier:TBC_Q10C
During the past 30 days, on how many days did you smoke cigarettes?
Min = 1; Max = 30
Tobacco (TBC) - Question identifier:TBC_Q15
Have you smoked at least 100 cigarettes (about 4 packs) in your life?
- 1: Yes
- 2: No
Tobacco (TBC) - Question identifier:TBC_Q20
When did you stop smoking cigarettes?
Was it:
- 1: Less than 1 year ago
- 2: 1 to 2 years ago
- 3: 3 to 5 years ago
- 4: More than 5 years ago
Tobacco (TBC) - Question identifier:TBC_Q25
In what month did you stop smoking cigarettes?
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Tobacco (TBC) - Question identifier:TBC_Q30A
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY1.DAYOFWEEK_E}, #{DV_DAY1}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q30B
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY2.DAYOFWEEK_E}, #{DV_DAY2}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q30C
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY3.DAYOFWEEK_E}, #{DV_DAY3}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q30D
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY4.DAYOFWEEK_E}, #{DV_DAY4}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q30E
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY5.DAYOFWEEK_E}, #{DV_DAY5}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q30F
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY6.DAYOFWEEK_E}, #{DV_DAY6}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q30G
During the past 7 days from #{DV_DAY7} to #{DV_DAY1}, how many cigarettes did you smoke each day?
#{DV_DAY7.DAYOFWEEK_E}, #{DV_DAY7}
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
- 32: 32
- 33: 33
- 34: 34
- 35: 35
- 36: 36
- 37: 37
- 38: 38
- 39: 39
- 40: 40
- 41: 41
- 42: 42
- 43: 43
- 44: 44
- 45: 45
- 46: 46
- 47: 47
- 48: 48
- 49: 49
- 50: 50
- 51: 51
- 52: 52
- 53: 53
- 54: 54
- 55: 55
- 56: 56
- 57: 57
- 58: 58
- 59: 59
- 60: 60
- 61: 61
- 62: 62
- 63: 63
- 64: 64
- 65: 65
- 66: 66
- 67: 67
- 68: 68
- 69: 69
- 70: 70
- 71: 71
- 72: 72
- 73: 73
- 74: 74
- 75: 75
- 76: 76
- 77: 77
- 78: 78
- 79: 79
- 80: 80
- 81: 81
- 82: 82
- 83: 83
- 84: 84
- 85: 85
- 86: 86
- 87: 87
- 88: 88
- 89: 89
- 90: 90 or more
Tobacco (TBC) - Question identifier:TBC_Q35
During the past 12 months, how many times have you stopped smoking cigarettes for one day or longer because you were trying to quit smoking?
Was it:
- 1: 0 times
- 2: 1 time
- 3: 2 or 3 times
- 4: 4 or more times
Tobacco (TBC) - Question identifier:TBC_Q40
During the past 12 months, did you try to quit smoking cigarettes by switching to a vaping device or an e-cigarette?
- 1: Yes
- 2: No
Tobacco (TBC) - Question identifier:TBC_Q41
Did you use the vaping device or e-cigarette with:
- 1: An e-liquid with nicotine
- 2: An e-liquid without nicotine (i.e., just flavouring)
- 3: An e-liquid, but you did not know what it contained
Tobacco (TBC) - Question identifier:TBC_Q45
During the past 12 months, did you do any of the following to help you quit smoking?
Did you:
- 1: Make a deal with a friend or family member
- 2: Reduce the number of cigarettes you smoked as a strategy to quit
- 3: Use a 1-800 quitline or a smokers helpline
- 4: Use an internet-based program
- 5: Use a smart phone app
- 6: Try to quit smoking on your own without special preparation or help
- 7: Other
Tobacco (TBC) - Question identifier:TBC_Q50
During the past 12 months, did you use any of the following nicotine replacement products to help you quit smoking?
Was it a:
- 1: Nicotine patch
- 2: Nicotine gum
- 3: Nicotine inhaler
- 4: Nicotine nasal spray
- 5: Nicotine lozenge
- 6: Nicotine mouth spray
- 7: You did not use a nicotine replacement product
Tobacco (TBC) - Question identifier:TBC_Q55
In the past 12 months, did you try medication such as Zyban, Wellbutrin or Champix to reduce or quit smoking?
- 1: Yes
- 2: No
Other tobacco product status (OTP)
Other tobacco product status (OTP) - Question identifier:OTP_R05
The following question is about tobacco products, other than cigarettes.
Other tobacco product status (OTP) - Question identifier:OTP_Q05A
During the past 30 days, how often did you smoke or use any of the following tobacco products?
Little cigars or cigarillos
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Other tobacco product status (OTP) - Question identifier:OTP_Q05B
During the past 30 days, how often did you smoke or use any of the following tobacco products?
Cigars
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Other tobacco product status (OTP) - Question identifier:OTP_Q05C
During the past 30 days, how often did you smoke or use any of the following tobacco products?
Tobacco smoked in a traditional pipe
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Other tobacco product status (OTP) - Question identifier:OTP_Q05D
During the past 30 days, how often did you smoke or use any of the following tobacco products?
Chewing tobacco, pinch, or snuff
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Other tobacco product status (OTP) - Question identifier:OTP_Q05E
During the past 30 days, how often did you smoke or use any of the following tobacco products?
Tobacco water-pipe
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Vaping (VAP)
Vaping (VAP) - Question identifier:VAP_R05
The following questions are about vaping or using e-cigarettes.
"Vaping" involves using devices that heat liquid into vapour that you inhale.
Include
vaping e-liquid with nicotine and without nicotine i.e., just flavouring
all e-cigarettes, vape mods, vaporizers and vape pens.
Exclude vaping cannabis.
Vaping (VAP) - Question identifier:VAP_Q05A
Have you ever tried vaping?
- 1: Yes
- 2: No
Vaping (VAP) - Question identifier:VAP_Q05B
How old were you when you first tried vaping?
Min = 0; Max = 999
Vaping (VAP) - Question identifier:VAP_Q10
During the past 30 days, how often did you vape?
Was it:
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Vaping (VAP) - Question identifier:VAP_Q15A
During the past 30 days, on how many days did you vape the following products?
An e-liquid with nicotine
Min = 0; Max = 30
Vaping (VAP) - Question identifier:VAP_Q15B
During the past 30 days, on how many days did you vape the following products?
An e-liquid without nicotine
Min = 0; Max = 30
Vaping (VAP) - Question identifier:VAP_Q15C
During the past 30 days, on how many days did you vape the following products?
An e-liquid, but you did not know what it contained
Min = 0; Max = 30
Vaping (VAP) - Question identifier:VAP_Q20
On the days you vaped, how many times did you usually pick up or take out your vaping device or e-cigarette to vape?
- 1: 1 time
- 2: 2 times
- 3: 3-5 times
- 4: 6-9 times
- 5: 10-14 times
- 6: 15-19 times
- 7: 20 or more times
Vaping (VAP) - Question identifier:VAP_Q21
Each time you picked up or took out your vaping device or e-cigarette to vape, how many puffs did you usually take before putting it away?
- 1: 1 puff
- 2: 2 puffs
- 3: 3-5 puffs
- 4: 6-9 puffs
- 5: 10-14 puffs
- 6: 15-19 puffs
- 7: 20 or more puffs
Vaping (VAP) - Question identifier:VAP_Q30
Which flavour do you vape most often?
Is it:
- 01: Tobacco
- 02: Fruit
- 03: Candy
- 04: Dessert
- 05: Mint or menthol
- 06: Coffee or tea
- 07: Alcohol
- 08: Flavourless
- 09: No usual flavour
- 10: Other
Vaping (VAP) - Question identifier:VAP_Q35
Currently, what is your main reason for vaping?
Is it:
- 01: By curiosity, you just wanted to try it
- 02: Because you enjoy it
- 03: To reduce stress or calm you down
- 04: To quit smoking cigarettes
- 05: To cut down on smoking cigarettes
- 06: To use when you cannot or are not allowed to smoke cigarettes
- 07: To avoid returning to smoking cigarettes
- 08: Other
Vaping (VAP) - Question identifier:VAP_Q40
From where do you usually get your vaping devices?
Would you say:
- 01: You buy them yourself at a vape shop (in person, not online)
- 02: You buy them yourself at a convenience store or gas station
- 03: You buy them yourself at a supermarket, grocery store or drug store
- 04: You buy them yourself online
- 05: You buy them from a friend or family member
- 06: You ask someone to buy them for you
- 07: A friend or family member gives or lends them to you
- 08: Other
Vaping (VAP) - Question identifier:VAP_Q41
From where do you usually get your vaping liquids?
Would you say:
- 01: You buy them yourself at a vape shop (in person, not online)
- 02: You buy them yourself at a convenience store or gas station
- 03: You buy them yourself at a supermarket, grocery store or drug store
- 04: You buy them yourself online
- 05: You buy them from a friend or family member
- 06: You ask someone to buy them for you
- 07: A friend or family member gives or lends them to you
- 08: Other
- 09: You make your own nicotine vaping liquid
Vaping (VAP) - Question identifier:VAP_Q45
During the past 12 months, how many times have you stopped vaping for one day or longer because you were trying to quit vaping?
Was it:
- 1: 0 times
- 2: 1 time
- 3: 2 or 3 times
- 4: 4 or more times
Vaping (VAP) - Question identifier:VAP_Q60
In your opinion, compared with cigarettes, how harmful to a person's health are e-cigarettes or vaping devices with nicotine?
Would you say:
- 1: Much less harmful than cigarettes
- 2: Somewhat less harmful than cigarettes
- 3: About the same as cigarettes
- 4: Somewhat more harmful than cigarettes
- 5: Much more harmful than cigarettes
- 9: DK
Cannabis (CAN)
Cannabis (CAN) - Question identifier:CAN_R05
The following questions are about smoking cannabis.
For the purpose of this survey, "cannabis" also refers to the terms marijuana, pot, or hashish.
Include smoking in a joint, bong or pipe.
Exclude vaping, eating or drinking cannabis.
Cannabis (CAN) - Question identifier:CAN_Q05A
Have you ever smoked cannabis?
- 1: Yes
- 2: No
Cannabis (CAN) - Question identifier:CAN_Q05B
How old were you when you first smoked cannabis?
Min = 0; Max = 999
Cannabis (CAN) - Question identifier:CAN_Q10A
During the past 30 days, how often did you smoke cannabis?
Was it:
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Cannabis (CAN) - Question identifier:CAN_Q10B
During the past 30 days, on how many days did you smoke cannabis?
Min = 0; Max = 30
Cannabis (CAN) - Question identifier:CAN_Q10C
During the past 30 days, on how many days did you smoke cannabis?
Min = 0; Max = 30
Cannabis (CAN) - Question identifier:CAN_Q15A
During the past 30 days, how often did you mix or combine cannabis with tobacco for smoking?
Was it:
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Cannabis (CAN) - Question identifier:CAN_Q15B
During the past 30 days, on how many days did you mix or combine cannabis with tobacco for smoking?
Min = 1; Max = 30
Cannabis (CAN) - Question identifier:CAN_Q15C
During the past 30 days, on how many days did you mix or combine cannabis with tobacco for smoking?
Min = 1; Max = 30
Cannabis (CAN) - Question identifier:CAN_Q17
During the past 30 days, how often did you consume cannabis edibles?
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Cannabis (CAN) - Question identifier:CAN_R20
The following questions are about vaping cannabis.
For the purpose of this survey, "cannabis" also refers to the terms marijuana, pot, or hashish.
Exclude smoking, eating or drinking cannabis.
Cannabis (CAN) - Question identifier:CAN_Q20A
Have you ever vaped cannabis?
- 1: Yes
- 2: No
Cannabis (CAN) - Question identifier:CAN_Q20B
How old were you when you first vaped cannabis?
Min = 0; Max = 999
Cannabis (CAN) - Question identifier:CAN_Q25A
During the past 30 days, how often did you vape cannabis?
Was it:
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Cannabis (CAN) - Question identifier:CAN_Q25B
During the past 30 days, on how many days did you vape cannabis?
Min = 1; Max = 30
Cannabis (CAN) - Question identifier:CAN_Q25C
During the past 30 days, on how many days did you vape cannabis?
Min = 1; Max = 30
Cannabis (CAN) - Question identifier:CAN_Q30
From where do you usually get your vaping devices or vaping liquids to vape cannabis?
- 01: You make your own cannabis vaping liquid
- 02: From a compassion club, dispensary or storefront
- 03: From an online source
- 04: Shared around a group of friends
- 05: From an acquaintance
- 06: From a family member
- 07: From a friend
- 08: From a dealer
- 09: Other
Initial use (IU)
Initial use (IU) - Question identifier:IU_Q05
Which did you try first?
- 1: A cigarette
- 2: An e-cigarette or vaping device (Include vaping e-liquid with nicotine and without nicotine i.e., just flavouring.
Include all e-cigarettes, vape mods, vaporizers and vape pens.
Exclude vaping cannabis.) - 3: Cannabis (Include smoking cannabis and vaping cannabis.
Exclude eating or drinking cannabis.)
Alcohol (ALC)
Alcohol (ALC) - Question identifier:ALC_R05
The following question is about your alcohol consumption. When we use the word drink, it means:
one 341 ml or 12 oz serving of beer whether from a bottle, can, or draft
one 142 ml or 5 oz glass of wine or bottle of cooler
one straight or mixed drink with 1.5 oz (43 ml) of liquor or spirit.
Alcohol (ALC) - Question identifier:ALC_Q05
During the past 30 days, how often did you drink at least 1 alcoholic beverage?
Was it:
- 1: Daily
- 2: Less than daily, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Alcohol (ALC) - Question identifier:ALC_Q10
During the past 12 months, how often have you had 4 or more drinks on one occasion? Was it:
- 01: Daily or almost daily
- 02: 4 to 5 times a week
- 03: 2 to 3 times a week
- 04: Once a week
- 05: 2 to 3 times a month
- 06: Once a month
- 07: Less than once a month
- 08: Never
Feedback (FDB)
Feedback (FDB) - Question identifier:FDB_Q02A
Do you have any comments about this questionnaire?
Long Answer Length = 200
- Date modified: