Welcome to this survey. Press Next to begin.

Please answer the following questions.

Have you smoked any tobacco cigarettes, even a puff, in the past 7 days?

Yes No

How many total tobacco cigarettes have you smoked in the past 7 days?

Have you achieved 1 or more days in the past month without smoking?

Yes No

Have you achieved 7 or more days in the past month without smoking?

Yes No

During the past 30 days, on how many days did you smoke cigarettes?

During the past 30 days, on average, how many cigarettes per day have you smoked?

In the past month, have you used nicotine replacement therapy (NRT), such as a patch, gum, lozenge, nasal spray, or inhaler?

Yes No

Congratulations for completing this survey! Press finish to continue.