Health Canada
Symbol of the Government of Canada
Health Concerns

2002 Youth Smoking Survey - Technical Report

Grade 5 and 6 Questionnaire

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

  • Province
  • School Board
  • School
  • Grade
  • Student No
  • Final Status

Language of interview

English. . . 1

Statistics Canada will keep your answers PRIVATE. No one from your home or your school will see what you write.

Introduction

To all Students:

Thousands of students across Canada, just like you, have been selected to take part in this survey.

This important survey will help Health Canada to prepare information related to youth smoking.

There are NO RIGHT or WRONG ANSWERS. This is NOT a test. DO NOT WRITE YOUR NAME ON THE QUESTIONNAIRE.

All your answers will be kept confidential by Statistics Canada. No one, not even your parents or teachers, will ever know what you answered. So please, be honest and accurate when you answer the questions.

While your participation is voluntary, your help today is very important to us.

Thank You!

About You

1. How old are you?

I am __ years old

2. Are you a:

1) girl?
2) boy?

3. What language do you speak most often at home? (Mark one only)

3) English
4) French
5) English and French
6) Other (specify)

4. Are you an Aboriginal person, that is, North American Indian, Métis or Inuit (Eskimo)? (Mark all that apply)

1) No
2) Yes, North American Indian (e.g. Cree, Micmac)
3) Yes, Métis
4) Yes, Inuit (Eskimo)

5. In the last 12 months, how often have you:

 

 

Never

Less than
once a
week

1 to 3
times a
week

4 or more
times a
week

a)

played sports or done physical activities WITHOUT a coach or an instructor (e.g., biking, skateboarding, etc.)?

01

02

03

04

b)

played sports WITH a coach or instructor, other than in gym class (swimming lessons, baseball, hockey, etc.)?

05

06

07

08

c)

taken part in dance, gymnastics, karate or other groups or lessons, other than in gym class?

09

10

11

12

d)

taken part in art, drama or music groups, clubs or lessons outside of class?

13

14

15

16

e)

taken part in clubs or groups such as Guides or Scouts, 4-H club, community, church or other religious groups?

17

18

19

20

f)

done a hobby or craft (drawing, model building, etc.)?

21

22

23

24

g)

played computer or video games?

25

26

27

28

h)

done odd jobs (a paper route, babysitting, etc.)?

29

30

31

32

6. On average, about how many hours a day do you watch TV or videos?

1) I don't watch TV or videos
2) Less than one hour a day
3) 1 to 2 hours a day
4) 3 to 4 hours a day
5) 5 to 6 hours a day
6) 7 or more hours a day

7. How often do you read for fun (not for school)?

1) Every day
2) A few times a week
3) Once a week
4) A few times a month
5) Less than once a month
6) Almost never

8. How much would you like to weigh right now? (Mark one only)

1) Less than I weigh now
2) Same as I weigh now
3) More than I weigh now
4) I don't know

9. Choose the answer that best describes how you feel.

 

 

False

Mostly
false

Some-
times
false

Some-
times
true

Mostly
true

True

a)

In general, I like the way I am.

01

02

03

04

05

06

b)

Overall, I have a lot to be proud of.

07

08

09

10

11

12

c)

A lot of things about me are good.

13

14

15

16

17

18

d)

When I do something, I do it well.

19

20

21

22

23

24

e)

I like the way I look.

25

26

27

28

29

30

Your Experience with Smoking

10. Have you ever tried:

  1. smoking cigars or pipe tobacco? yes 1 no 2
  2. using chewing tobacco? yes 3 no 4
  3. using snuff? (tobacco powder that people sniff ) yes 5 no 6
  4. smoking bidis? (tobacco-like product from India) yes 7 no 8

11a. Have you ever tried cigarette smoking, even just a few puffs?

  1. Yes
  2. No
    • 11b. Have you ever seriously thought about trying smoking?
    • Yes
    • No

12. Do you think you might try smoking within the next month?

1) I already smoke
2) Yes
3) No
4) I don't know

13. Do you think it would be difficult or easy for you to get cigarettes if you wanted to try smoking?

1) I already smoke
2) Difficult
3) Easy
4) I don't know

14. Have you ever smoked a whole cigarette?

5) Yes
6) No

15. How old were you when you smoked your first whole cigarette? (Mark one only)

95 I have never smoked a whole cigarette

OR

I was __ years old

16. Have you smoked 100 or more cigarettes in your life?

1) Yes
2) No
3) I don't know

17. Have you ever smoked every day for at least 7 days in a row?

4) Yes
5) No
6) I don't know

18. How old were you when you first did this (smoked every day for at least 7 days in a row)? (Mark one only)

95) I have never done this OR I was __ years old

97) I don't know

19. On how many of the last 30 days did you smoke one or more cigarettes? (Mark one only)

1) None
2) 1 - 5 days
3) 6 - 10 days
4) 11 - 20 days
5) 21 - 29 days
6) 30 days (everyday)

20. On those days that you smoked, how many cigarettes did you usually smoke?(Mark one only)

1) I didn't smoke in the last 30 days
2) 5 or less cigarettes
3) 6 - 10 cigarettes
4) 11 - 15 cigarettes
5) 16 - 20 cigarettes
6) 21 - 25 cigarettes
7) More than 25 cigarettes

21. Thinking back over the last 7 days, starting with yesterday, how many cigarettes did you smoke on each day?

8) I did not smoke over the last 7 days OR How many cigarettes did you smoke on...

(Find yesterday's day on the wheel and follow the arrows for the past 7 days.)

Image: Find yesterday's day on the wheel and follow the arrows for the past 7 days

22a. Do you usually smoke the same brand of cigarettes?

1) I don't smoke
2) Yes
3) No

22b. What brand do you usually smoke? (Mark one only)

  1. I don't smoke
  2. Belmont
  3. Craven "A" King Size
  4. Craven Menthol King Size
  5. DuMaurier King Size
  6. DuMaurier Regular Size
  7. DuMaurier Light King Size
  8. DuMaurier Light Regular Size
  9. DuMaurier Extra Light King Size
  10. DuMaurier Extra Light Regular
  11. DuMaurier Ultra Light King Size
  12. DuMaurier Ultra Light Regular Size
  13. DuMaurier Special King Size
  14. DuMaurier Special 100
  15. Export "A" Regular Size
  16. Export "A" Medium Regular Size
  17. Export "A" Light Regular Size
  18. John Player's Special
  19. Matinee Extra Mild King Size
  20. Matinee Extra Mild Regular Size
  21. Matinee Slims King Size
  22. Number 7
  23. Player's Light King Size
  24. Player's Light Regular Size
  25. Player's Regular Size
  26. Player's Extra Light King Size
  27. Player's Extra Light Regular Size
  28. Player's Light Smooth
  29. Rothman's King Size
  30. Rothman's Special Mild King Size
  31. No regular brand
  32. Other (specify)

23. Why do you smoke the brand of cigarettes that you do? (Mark one only)

01) I don't smoke

02) I don't have a usual brand
03) My friends smoke the same brand
04) My parents smoke the same brand
05) I like the packaging
06) This brand costs less than other brands
07) I like the image of the brand
08) I like the taste
09) Those are the only ones I can get
10) They have less tar
11) For the nicotine buzz
12) Other reason (specify) _____________

24. During the past 12 months, have you switched cigarette brands?

1) I don't smoke

2) Yes
3) No

25. Where do you usually get your cigarettes? (Mark one only)

01) I don't smoke

02) I buy them from a vending machine
03) I buy them at a small grocery/corner store
04) I buy them at another kind of store (excluding vending machine)
05) I buy them from a friend or someone else
06) I buy them on the internet
07) My brother or sister gives them to me
08) My mother or father gives them to me
09) A friend or someone else gives them to me
10) I take them from my mother/father/sister/brother

26. How do you go about buying cigarettes from a store? (Mark one only)

1) I don't smoke

2) I do not buy cigarettes from stores
3) I try to look older
4) I carry fake ID
5) I make sure I know the clerk
6) I don't do anything special
7) When I buy cigarettes from a store, I do something else
(specify)

27. Have you ever been asked your age when buying cigarettes in a store for yourself or for someone else?(Mark one only)

1) I have never bought cigarettes in a store

2) Yes
3) No

28. Have you ever been asked for an ID when trying to buy cigarettes?

4) I have never bought cigarettes in a store

5) Yes
6) No

29. Has anyone in a store ever refused to sell you cigarettes?

1) I have never bought cigarettes in a store

2) Yes
3) No

30. Have you ever asked a stranger to buy you cigarettes?

4) Yes
5) No

31a. Do you sometimes buy single cigarettes?

1) I don't smoke

2) Yes

31b. Where do you buy them? (Mark all that apply)
4) At a small grocery/corner store
5) In another kind of store
6) I buy them from a friend or someone else

3) No

32. Have you ever seriously thought about quitting smoking?

1) I have never smoked or have only smoked a few times
2) Yes
3) No

33. How many times have you tried to quit smoking? (Mark one only)

94) I have never smoked or have only smoked a few times

OR

95) I have never tried to quit

OR

___ Number of times I have tried to quit smoking

OR

97) I don't know

34. How old were you when you first tried to quit smoking? (Mark one only)

94) I have never smoked or have only smoked a few times

OR

95) I have never tried to quit

OR

I was ___ years old

35. Have you tried to quit smoking in the last 6 months?

1) In the last 6 months, I have not smoked or have only smoked a few times
2) Yes
3) No

36. Since you started smoking, what is the longest time you have ever quit smoking? (Mark one only)

01) I have never smoked or have only smoked a few times
02) I have never tried to quit
03) 1 day or less
04) 2 - 7 days
05) 8 - 31 days
06) 1 - 3 months
07) 4 - 6 months
08) 7 - 12 months
09) More than 1 year
10) I don't know

You, Your Parents and Your Friends

37a. Does your father smoke?
If you don't live with your father, but most of the time you live with someone who is like a father to you, please answer about this person.

1) Yes

2) No

37b. Did he ever smoke?

5) Yes
6) No
7) I don't know

3) I don't know

4) I don't live with a father or anyone who is like a father

38. How does your father feel about your smoking?
If you don't live with your father, but most of the time you live with someone who is like a father to you, please answer about this person. (Mark one only)

1) I don't smoke
2) He approves
3) He doesn't care
4) He doesn't like it
5) He doesn't know that I smoke
6) I don't live with a father or anyone who is like a father

39a. Does your mother smoke?
If you don't live with your mother, but most of the time you live with someone who is like a mother to you, please answer about this person. (Mark one only)

1) Yes

2) No

39b. Did she ever smoke?

5) Yes
6) No
7) I don't know

3) I don't know

4) I don't live with a mother or anyone who is like a mother

40. How does your mother feel about your smoking?
If you don't live with your mother, but most of the time you live with someone who is like a mother to you, please answer about this person. (Mark one only)

1) I don't smoke

2) She approves
3) She doesn't care
4) She doesn't like it
5) She doesn't know that I smoke
6) I don't live with a mother or anyone who is like a mother

41. Excluding yourself, how many people smoke INSIDE your home every day or almost every day? Do not count those who usually smoke outside.

___ Write in number (If none, enter 00)

42. Do you ever smoke INSIDE your home?

1) I don't smoke

2) Yes
3) No

43. How many close friends do you have (that is, very good friends)?

___ Write in number (If none, enter 00)

44. How many of your close friends smoke?

___ Write in number (If none, enter 00)

45. In one year's time, do you think you will be smoking...

1) not at all?
2) less than now?
3) the same as now?
4) more than now?
5) I don't know

Your Opinions and Beliefs

46.What do you think about some of the things that have been said about cigarette smoking?

 

 

Yes

No

I don't know

a)

Do people have to smoke for many years before it will hurt their health?

01

02

03

b)

Is there any danger to your health from an occasional cigarette?

04

05

06

c)

Can smoking help people when they are bored?

07

08

09

d)

Does smoking help people relax?

10

11

12

e)

Does quitting smoking reduce health
damage even after many years of smoking?

13

14

15

f)

Does smoking help people stay slim?

16

17

18

g)

Can people become addicted to tobacco?

19

20

21

h)

Can tobacco smoke be harmful to the health of non-smokers?

22

23

24

i)

Is it nicer to date people who don't smoke?

25

26

27

j)

Can smokers quit anytime they want?

28

29

30

k)

Do you think smoking is cool?

31

32

33

47. Why do you think people your age start to smoke? (Mark all that apply)

1) Their friends smoke
2) Their mother or father smokes
3) Their brother or sister smokes
4) The popular kids smoke
5) It's relaxing
6) Curiosity - just to try it
7) Curiosity - just to try it
8) To lose weight or stay slim
9) For something to do
10) It's cool
11) Other (specify) _______________

48. What health problems can people get if they smoke for many years? (Please print clearly)

 

49. According to the law in your province, how old does a person have to be in order to buy cigarettes?

___ Years old

OR

97) I don't know

50a. Have you ever seen health warning messages on cigarette packages?

1) Yes

50b. In your own words, write or describe the ones you remember. (Please print clearly)

2) No

51. About how often if ever do you find yourself looking at these health warning messages? (Mark one only)

1) Never
2) Less than once a week
3) About once a week
4) Once every 2 or 3 days
5) About once a day
6) A few times a day
7) More than a few times a day

52. How much do you agree or disagree with cigarette packages having health warning messages? Do you...
(Mark one only)

1) agree a lot?
2) agree a little?
3) neither agree nor disagree?
4) disagree a little?
5) disagree a lot?

53. Do you believe the health warnings that you see on cigarette packages?

1) Yes
2) No
3) I don't know
4) I have not seen them

School and You

54. How are you doing in school compared to other students in your class? Would you say...

1) better than average?
2) average?
3) below average?

55. In your school, what are the rules about smoking? (Mark one only)

4) I don't think there are any rules
5) On school property smoking is allowed only in some areas
6) Smoking is not allowed anywhere on school property
7) I don't know

56. Do most students who smoke obey that rule? (Mark one only)

1) I don't think there is a rule
2) Yes
3) No
4) I don't know

57. How does that rule affect you? (Mark one only)

1) I don't smoke

2) I don't think there is a rule
3) Because of that rule, I don't smoke at school
4) Because of that rule, I smoke less at school
5) It does not make any difference; I smoke at school as much as I want
6) It does not make any difference; I wouldn't smoke at school anyway
7) Other (specify) ___________________

58. Have you ever been taught in school about health problems due to smoking?

1) Yes
2) No
3) I don't know

59. About how much money do you usually get each week to spend on yourself or to save? (Include money from allowances and from jobs)

$ ___ .00 (Write in amount or 0 if you get no money)

97) I don't know

Your Doctor and Your Dentist

60. Has a doctor ever asked you whether you smoke cigarettes or use smokeless tobacco?

1) Yes
2) No

61. Has a doctor ever talked to you about what smoking or using smokeless tobacco does to your health?

3) Yes
4) No

62. Have you ever asked a doctor for help to quit smoking?

1) I don't smoke

2) Yes
3) No

63. Has a dentist ever asked you whether you smoke cigarettes or use smokeless tobacco?

4) Yes
5) No

64. Has a dentist ever talked to you about what smoking or using smokeless tobacco does to your health?

1) Yes
2) No

80. The next questions are about the number of deaths in Canada due to cigarette smoking. Mark if you agree or disagree with these questions.

 

 

Agree

Disagree

I don't know

a)

Cigarette smoking causes more deaths each year than alcohol.

01

02

03

b)

Cigarette smoking causes more deaths each year than illegal drugs.

04

05

06

c)

Cigarette smoking causes more deaths each year than car accidents.

07

08

09

d)

Cigarette smoking causes more deaths each year than AIDS.

10

11

12

e)

Cigarette smoking causes more deaths each year than suicides.

13

14

15

f)

Cigarette smoking causes more deaths each year than murders.

16

17

18

81.Which of the following, do you think, is closest to the number of Canadians that die each year as a result of smoking cigarettes?

1) 1,000
2) 5,000
3) 15,000
4) 25,000
5) 45,000
6) 75,000
7) 100,000
8) More than 100,000

Thank you for your co-operation