Global Adult Tobacco Survey (GATS)
Core Questionnaire with Optional Questions
Global Adult Tobacco Survey (GATS)
Core Questionnaire with
Optional Questions
September 2020
ii
Global Adult Tobacco Survey (GATS)
Comprehensive Standard Protocol
……………………………………………………………………………………………
GATS Questionnaire
Core Questionnaire with Optional Questions
Question by Question Specifications
GATS Sample Design
Sample Design Manual
Sample Weights Manual
GATS Fieldwork Implementation
Field Interviewer Manual
Field Supervisor Manual
Mapping and Listing Manual
GATS Data Management
Programmer’s Guide to General Survey System
Core Questionnaire Programming Specifications
Data Management Implementation Plan
Data Management Training Guide
GATS Quality Assurance: Guidelines and Documentation
GATS Analysis and Reporting Package
Fact Sheet Templates
Country Report: Tabulation Plan and Guidelines
Indicator Definitions
GATS Data Release and Dissemination
Data Release Policy
Data Dissemination: Guidance for the Initial Release of the Data
Suggested Citation
Global Adult Tobacco Survey Collaborative Group. Global Adult Tobacco Survey (GATS): Core
Questionnaire with Optional Questions. Atlanta, GA: Centers for Disease Control and Prevention,
2020.
iii
Acknowledgements
GATS Collaborating Organizations
United States Centers for Disease Control and Prevention (CDC)
CDC Foundation
Johns Hopkins Bloomberg School of Public Health (JHSPH)
RTI International
World Health Organization (WHO)
Financial Support
Financial support was provided by the Bloomberg Initiative to Reduce Tobacco Use through the CDC
Foundation with a grant from Bloomberg Philanthropies.
Disclaimer: The views expressed in this manual are not necessarily those of the GATS collaborating organizations.
iv
v
Contents
GATS Questionnaire Formatting Conventions ........................................................................................ 1
Core Household Questionnaire ................................................................................................................. 3
Core Individual Questionnaire ................................................................................................................... 7
Section A. Background Characteristics ................................................................................................... 9
Section B. Tobacco Smoking ................................................................................................................. 11
Section EC. Electronic Cigarettes .......................................................................................................... 17
Section C. Smokeless Tobacco ............................................................................................................. 19
Section D1. Cessation Tobacco Smoking .......................................................................................... 25
Section D2. Cessation Smokeless Tobacco ...................................................................................... 27
Section E. Secondhand Smoke ............................................................................................................. 29
Section F. Economics Manufactured Cigarettes ................................................................................ 33
Section G. Media ................................................................................................................................... 35
Section H. Knowledge, Attitudes & Perceptions .................................................................................... 40
End Individual Questionnaire ................................................................................................................. 41
List of Optional Questions ....................................................................................................................... 43
vi
Global Adult Tobacco Survey (GATS) 1 Core Questionnaire with Optional Questions
September 2020 GATS Questionnaire Formatting Conventions
GATS Questionnaire Formatting Conventions
Text in RED FONT = Programming logic and skip instructions.
Text in BLUE ITALICS = Instructions for country-adaptations and wording fills.
Text in [BRACKETS] = Specific question instructions for interviewers—not to be read to the respondents.
Text in underline = Words that interviewers should emphasize when reading to respondents.
Global Adult Tobacco Survey (GATS) 2 Core Questionnaire with Optional Questions
September 2020 GATS Questionnaire Formatting Conventions
Global Adult Tobacco Survey (GATS) 3 Core Questionnaire with Optional Questions
September 2020 Core Household Questionnaire
Core Household Questionnaire
INTRO. [THE HOUSEHOLD SCREENING RESPONDENT SHOULD BE 18 YEARS OF AGE OR OLDER AND
YOU MUST BE CONFIDENT THAT THIS PERSON CAN PROVIDE ACCURATE INFORMATION
ABOUT ALL MEMBERS OF THE HOUSEHOLD. IF NEEDED, VERIFY THE AGE OF THE
HOUSEHOLD SCREENING RESPONDENT TO MAKE SURE HE/SHE IS 18 YEARS OF AGE OR
OLDER.
THE HOUSEHOLD SCREENING RESPONDENT CAN BE LESS THAN 18 YEARS OLD, ONLY IF NO
HOUSEHOLD MEMBERS ARE 18 YEARS OF AGE OR OLDER.]
INTRO1. An important survey of adult tobacco use behavior is being conducted by the [FILL COUNTRY
SPONSORING AGENCY] throughout [FILL COUNTRY] and your household has been selected to
participate. All houses selected were chosen from a scientific sample and it is very important to the
success of this project that each participates in the survey. All information gathered will be kept strictly
confidential. I have a few questions to find out who in your household is eligible to participate.
HH1. First, I’d like to ask you a few questions about your household. In total, how many persons live in this
household?
[INCLUDE ANYONE WHO CONSIDERS THIS HOUSEHOLD THEIR USUAL PLACE OF RESIDENCE]
[NO DK/REF]
HH2. How many of these household members are 15 years of age or older?
[NO DK/REF]
[IF HH2 = 00 (NO HOUSEHOLD MEMBERS 15 IN HOUSEHOLD)]
[THERE ARE NO ELIGIBLE HOUSEHOLD MEMBERS.
THANK THE RESPONDENT FOR HIS/HER TIME.
THIS WILL BE RECORDED IN THE VISIT RECORD AS A CODE 201.]
HH2a. [IF HH2<HH1:] How many household members are less than 5 years old?
HH3. [OPTIONAL QUESTION HH3 WILL BE INCLUDED IF GENDER RANDOMIZATION IS USED IN THE
SAMPLE DESIGN.]
Global Adult Tobacco Survey (GATS) 4 Core Questionnaire with Optional Questions
September 2020 Core Household Questionnaire
HH4both. I now would like to collect information about only these persons that live in this household who are 15
years of age or older. Let’s start listing them from oldest to youngest.
HH4a. What is the {oldest/next oldest} person’s first name? ________________________
HH4b. What is this person’s age?
[IF RESPONDENT DOESN’T KNOW, PROBE FOR AN ESTIMATE]
[NO DK/REF]
[IF REPORTED AGE IS 15 THROUGH 17, BIRTH DATE IS ASKED]
HH4c. What is the month of this person’s date of birth?
01 .................................. 1
02 ..................................
2
03 .................................. 3
04 .................................. 4
05 ..................................
5
06 ..................................
6
07 ..................................
7
08 .................................. 8
09 ..................................
9
10 ..................................
10
11 ..................................
11
12 ..................................
12
DON’T KNOW ...............
-7
REFUSED .....................
-9
HH4cYEAR. What is the year of this person’s date of birth?
HH4d. Is this person male or female?
MALE ...............
1
FEMALE ..........
2
HH4e. Does this person currently smoke tobacco, including [FILL APPROPRIATE COUNTRY
EXAMPLES: cigarettes, cigars, pipes, waterpipe]?
YES .................. 1
NO ................... 2
DON’T KNOW..
-7
REFUSED ........
-9
[REPEAT HH4a – HH4e FOR EACH PERSON REPORTED IN HH2]
Global Adult Tobacco Survey (GATS) 5 Core Questionnaire with Optional Questions
September 2020 Core Household Questionnaire
HH5. [NAME OF THE SELECTED ELIGIBLE PERSON IS:
{FILL SELECTED HH MEMBER’S FIRST NAME}
ASK IF SELECTED RESPONDENT IS AVAILABLE AND IF SO, PROCEED TO THE INDIVIDUAL
QUESTIONNAIRE.
IF SELECTED RESPONDENT IS NOT AVAILABLE, MAKE AN APPOINTMENT AND RECORD IT AS A
COMMENT IN THE VISIT RECORD.]
Global Adult Tobacco Survey (GATS) 6 Core Questionnaire with Optional Questions
September 2020 Core Household Questionnaire
Global Adult Tobacco Survey (GATS) 7 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Core Individual Questionnaire
CONSENT1. [SELECT THE APPROPRIATE AGE CATEGORY BELOW. IF NEEDED, CHECK THE AGE OF
SELECTED RESPONDENT FROM THE “CASE INFO” SCREEN IN THE TOOLS MENU.]
15-17 .................................................
1 GO TO CONSENT2
18 OR OLDER ..................................
2 GO TO CONSENT5
EMANCIPATED MINOR (15-17) ......
3 GO TO CONSENT5
CONSENT2. Before starting the interview, I need to obtain consent from a parent or guardian of [NAME OF
RESPONDENT] and from [NAME OF RESPONDENT].
[IF BOTH SELECTED RESPONDENT AND PARENT/GUARDIAN ARE AVAILABLE, CONTINUE
WITH INTERVIEW.
IF PARENT/GUARDIAN IS NOT AVAILABLE, BREAK-OFF INTERVIEW AND SCHEDULE AN
APPOINTMENT TO RETURN.
IF MINOR RESPONDENT IS NOT AVAILABLE, CONTINUE WITH OBTAINING PARENTAL
CONSENT.]
CONSENT3. [READ THE FOLLOWING TO THE PARENT/GUARDIAN AND SELECTED RESPONDENT (IF
AVAILABLE):]
I am working with [Name of Organization]. This institution is collecting information about tobacco
use in [Country]. This information will be used for public health purposes by the Ministry of
Health.
Your household and [NAME OF RESPONDENT] have been selected at random. [NAME OF
RESPONDENT] responses are very important to us and the community, as these answers will
represent many other persons.
The interview will last around 30 minutes. [NAME OF RESPONDENT] participation in this survey
is entirely voluntary. The information that [NAME OF RESPONDENT] will provide will be kept
strictly confidential and [NAME OF RESPONDENT] will not be identified by his/her responses.
Personal information will not be shared with anyone else, not even other family members
including you. [NAME OF RESPONDENT] can withdraw from the study at any time, and may
refuse to answer any question.
We will leave the necessary contact information with you. If you have any questions about this
survey, you can contact the telephone numbers listed.
If you agree with [NAME OF RESPONDENT]’s participation in this survey, we will conduct a
private interview with him/her.
[ASK PARENT/GUARDIAN:] Do you agree with [NAME OF RESPONDENT]’s participation?
YES .....
1 GO TO CONSENT4
NO ......
2 END INTERVIEW
Global Adult Tobacco Survey (GATS) 8 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
CONSENT4. [WAS THE SELECTED MINOR RESPONDENT PRESENT?]
PRESENT ...............
1 GO TO CONSENT6
NOT PRESENT ......
2 GO TO CONSENT5
CONSENT5. [READ TO THE SELECTED RESPONDENT:]
I am working with [Name of Organization]. This institution is collecting information about tobacco
use in [Country]. This information will be used for public health purposes by the Ministry of
Health.
Your household and you have been selected at random. Your responses are very important to us
and the community, as these answers will represent many other persons. The interview will last
around 30 minutes. Your participation in this survey is entirely voluntary. The information that you
will provide us will be kept strictly confidential, and you will not be identified by your responses.
Personal information will not be shared with anyone else, not even other family members. You
can withdraw from the study at any time, and may refuse to answer any question.
We will leave the necessary contact information with you. If you have any questions about this
survey, you can contact the telephone numbers listed.
{FILL IF CONSENT4=2: Your parent/guardian has given his/her permission for you to participate
in this survey.}
If you agree to participate, we will conduct a private interview with you.
CONSENT6. [ASK SELECTED RESPONDENT:] Do you agree to participate?
YES .....
1 PROCEED WITH INTERVIEW
NO ......
2 END INTERVIEW
INTLANG. [INTERVIEW LANGUAGE]
[INSERT LANGUAGES – THIS QUESTION IS ONLY NEEDED IF MORE THAN
ONE LANGUAGE IS BEING USED]
[SPECIFY] .......
1
[SPECIFY] .......
2
[SPECIFY] .......
3
[SPECIFY] .......
4
Global Adult Tobacco Survey (GATS) 9 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section A. Background Characteristics
A00. I am going to first ask you a few questions about your background.
A01. [RECORD GENDER FROM OBSERVATION. ASK IF NECESSARY.]
MALE .........
1
FEMALE .... 2
A02a. What is the month of your date of birth?
01 .....................
1
02 .....................
2
03 ..................... 3
04 ..................... 4
05 .....................
5
06 .....................
6
07 .....................
7
08 ..................... 8
09 .....................
9
10 .....................
10
11 .....................
11
12 .....................
12
DON’T KNOW ..
-7
REFUSED ........
-9
A02b. What is the year of your date of birth?
[IF MONTH=DK OR REF OR YEAR=DK OR REF, ASK A03. OTHERWISE SKIP TO A04.]
A03. How old are you?
[IF RESPONDENT IS UNSURE, PROBE FOR AN ESTIMATE AND RECORD AN ANSWER.
IF REFUSED, BREAK-OFF AS WE CANNOT CONTINUE INTERVIEW WITHOUT AGE]
[NO DK/REF]
A03a. [WAS RESPONSE ESTIMATED?]
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
Global Adult Tobacco Survey (GATS) 10 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
A04. What is the highest level of education you have completed?
[SELECT ONLY ONE CATEGORY]
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
NO FORMAL SCHOOLING ..............................................
1
LESS THAN PRIMARY SCHOOL COMPLETED ............
2
PRIMARY SCHOOL COMPLETED ..................................
3
LESS THAN SECONDARY SCHOOL COMPLETED ...... 4
SECONDARY SCHOOL COMPLETED ...........................
5
HIGH SCHOOL COMPLETED .........................................
6
COLLEGE/UNIVERSITY COMPLETED ..........................
7
POST GRADUATE DEGREE COMPLETED ................... 8
DON’T KNOW ...................................................................
-7
REFUSED .........................................................................
-9
A05. Which of the following best describes your main work status over the past 12 months? Government
employee, non-government employee, self-employed, student, homemaker, retired, unemployed-able to
work, or unemployed-unable to work?
[INCLUDE SUBSISTENCE FARMING AS SELF-EMPLOYED]
GOVERNMENT EMPLOYEE .................
1
NON-GOVERNMENT EMPLOYEE ........
2
SELF-EMPLOYED..................................
3
STUDENT ...............................................
4
HOMEMAKER ........................................
5
RETIRED ................................................ 6
UNEMPLOYED, ABLE TO WORK ......... 7
UNEMPLOYED, UNABLE TO WORK .... 8
DON’T KNOW .........................................
-7
REFUSED ...............................................
-9
A06. Please tell me whether this household or any person who lives in the household has the following items:
YES
NO
DON’T
KNOW
REFUSED
a. Electricity? .............................................. 1 ..... 2 ......... -7 ............ -9
b. Flush toilet? ............................................
1 ..... 2 ......... -7 ............ -9
c. Internet access via mobile phone,
tablet, laptop or other computer? ............
1 ..... 2 ......... -7 ............ -9
d. Cell telephone? .......................................
1 ..... 2 ......... -7 ............ -9
e. Television? ..............................................
1 ..... 2 ......... -7 ............ -9
f. Radio? ....................................................
1 ..... 2 ......... -7 ............ -9
g. Refrigerator? ...........................................
1 ..... 2 ......... -7 ............ -9
h. Car, truck, or van? ..................................
1 ..... 2 ......... -7 ............ -9
i. Moped/scooter/motorcycle? ...................
1 ..... 2 ......... -7 ............ -9
j. Washing machine? .................................
1 ..... 2 ......... -7 ............ -9
Global Adult Tobacco Survey (GATS) 11 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section B. Tobacco Smoking
B01. The following questions are about the use of different types of tobacco products. There are [three/four]
categories of products that I will be asking you about separately: “classic” smoking tobacco products;
electronic cigarettes such as [BRAND NAME(S)]; [heated tobacco products such as BRAND
NAME(S);] and smokeless tobacco.
I would first like to ask you some questions about smoking tobacco, including [FILL APPROPRIATE
COUNTRY EXAMPLES: cigarettes, cigars, pipes, waterpipe with tobacco]. This includes all products
where you burn the tobacco as you smoke it.
Do you currently smoke tobacco on a daily basis, less than daily, or not at all?
DAILY ...........................
1 SKIP TO B04
LESS THAN DAILY ......
2
NOT AT ALL .................
3 SKIP TO B03
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION EC
REFUSED .....................
-9 SKIP TO NEXT SECTION EC
B02. Have you smoked tobacco daily in the past?
YES ...............................
1 SKIP TO B04
NO ................................
2 SKIP TO B04
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION EC
REFUSED .....................
-9 SKIP TO NEXT SECTION EC
B03. In the past, have you smoked tobacco on a daily basis, less than daily, or not at all?
[IF RESPONDENT HAS DONE BOTH “DAILY” AND “LESS THAN DAILY” IN THE PAST, CHECK
“DAILY”]
DAILY ...........................
1 SKIP TO B04
LESS THAN DAILY ......
2 SKIP TO B04
NOT AT ALL .................
3 SKIP TO NEXT SECTION EC
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION EC
REFUSED .....................
-9 SKIP TO NEXT SECTION EC
Global Adult Tobacco Survey (GATS) 12 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
B04. How old were you when you first tried smoking tobacco, even once?
[IF B04 = DK OR REF, ASK B04a. OTHERWISE GO TO BCOMP1.]
B04a. How many years ago did you first try smoking tobacco, even once?
BCOMP1
IF B01 = 1, GO TO B05
IF B02 = 1, GO TO B05
IF B02 = 2, GO TO B08
IF B03 = 1, GO TO B05
IF B03 = 2, GO TO B09a
B05. How old were you when you first started smoking tobacco daily?
[IF B05 = DK OR REF, ASK B05a. OTHERWISE GO TO BCOMP2.]
B05a. How many years ago did you first start smoking tobacco daily?
BCOMP2
IF B01 = 1, GO TO B06
IF B02 = 1, GO TO B08
IF B03 = 1, GO TO B09a
Global Adult Tobacco Survey (GATS) 13 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
[CURRENT DAILY SMOKERS]
B06. On average, how many of the following products do you currently smoke each day? Also, let me know if
you smoke the product, but not every day.
[IF RESPONDENT REPORTS SMOKING THE PRODUCT BUT NOT EVERY DAY, ENTER 888
IF RESPONDENT REPORTS IN PACKS OR CARTONS, PROBE TO FIND OUT HOW MANY ARE IN
EACH AND CALCULATE TOTAL NUMBER]
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
a. Manufactured cigarettes?
PER DAY
a1. [IF B06a=888] On average, how many manufactured
cigarettes do you currently smoke each week?
PER WEEK
b. Hand-rolled cigarettes?
PER DAY
b1. [IF B06b=888] On average, how many hand-rolled
cigarettes do you currently smoke each week?
PER WEEK
c. Kreteks?
PER DAY
c1. [IF B06c=888] On average, how many kreteks do you
currently smoke each week?
PER WEEK
d. Pipes full of tobacco?
PER DAY
d1. [IF B06d=888] On average, how many pipes full of
tobacco do you currently smoke each week?
PER WEEK
e. Cigars, cheroots, or cigarillos?
PER DAY
e1. [IF B06e=888] On average, how many cigars, cheroots,
or cigarillos do you currently smoke each week?
PER WEEK
f. Number of waterpipe tobacco sessions per day?
PER DAY
f1. [IF B06f=888] On average, how many waterpipe tobacco
sessions do you currently participate in each week?
PER WEEK
g. Any others? ( g1. Please specify the other type you
currently smoke:_______________________)
PER DAY
g2. [IF B06g=888] On average, how many [FILL PRODUCT]
do you currently smoke each week?
PER WEEK
B07. How soon after you wake up do you usually have your first smoke? Would you say within 5 minutes,
6 to 30 minutes, 31 to 60 minutes, or more than 60 minutes?
WITHIN 5 MINUTES ..................
1
6 TO 30 MINUTES.....................
2
31 TO 60 MINUTES ..................
3
MORE THAN 60 MINUTES .......
4
REFUSED .................................. -9
[SKIP TO NEXT SECTION EC]
Global Adult Tobacco Survey (GATS) 14 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
[CURRENT LESS THAN DAILY SMOKERS]
B08. How many of the following do you currently smoke during a usual week?
[IF RESPONDENT REPORTS SMOKING THE PRODUCT WITHIN THE PAST 30 DAYS, BUT LESS
THAN ONCE PER WEEK, ENTER 888
IF RESPONDENT REPORTS IN PACKS OR CARTONS, PROBE TO FIND OUT HOW MANY ARE IN
EACH AND CALCULATE TOTAL NUMBER]
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
a. Manufactured cigarettes? ...............................................
PER WEEK
b. Hand-rolled cigarettes? ...................................................
PER WEEK
c. Kreteks? ..........................................................................
PER WEEK
d. Pipes full of tobacco? ......................................................
PER WEEK
e. Cigars, cheroots, or cigarillos? .......................................
PER WEEK
f. Number of waterpipe tobacco sessions per week? ........
PER WEEK
g. Any others? .....................................................................
PER WEEK
g1. Please specify the other type you currently smoke:
________________________________________
[SKIP TO NEXT SECTION EC]
Global Adult Tobacco Survey (GATS) 15 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
[FORMER SMOKERS]
B09a. How long has it been since you stopped smoking?
[ONLY INTERESTED IN WHEN RESPONDENT STOPPED SMOKING REGULARLY DO NOT
INCLUDE RARE INSTANCES OF SMOKING
ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
YEARS ..........................
1
MONTHS ......................
2
WEEKS .........................
3
DAYS ............................
4
LESS THAN 1 DAY ......
5 SKIP TO B10
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION EC
REFUSED ..................... -9 SKIP TO NEXT SECTION EC
B09b. [ENTER NUMBER OF (YEARS/MONTHS/WEEKS/DAYS)]
[NO DK/REF]
[IF B09a/b < 1 YEAR (< 12 MONTHS), THEN CONTINUE WITH B10. OTHERWISE SKIP TO NEXT SECTION
EC.]
B10. Have you visited a doctor or other health care provider in the past 12 months?
YES ..................
1
NO ...................
2 SKIP TO B14
REFUSED ........
-9 SKIP TO B14
B11. How many times did you visit a doctor or health care provider in the past 12 months? Would you say
1 or 2 times, 3 to 5 times, or 6 or more times?
1 OR 2 .............
1
3 TO 5 ..............
2
6 OR MORE .....
3
REFUSED ........ -9
B12. During any visit to a doctor or health care provider in the past 12 months, were you asked if you
smoke tobacco?
YES .................. 1
NO ...................
2 SKIP TO B14
REFUSED ........
-9 SKIP TO B14
Global Adult Tobacco Survey (GATS) 16 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
B13. During any visit to a doctor or health care provider in the past 12 months, were you advised to quit
smoking tobacco?
YES ..................
1
NO ...................
2
REFUSED ........ -9
B14. During the past 12 months, did you use any of the following to try to stop smoking tobacco?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
YES NO REFUSED
a. Counseling, including at a smoking cessation clinic? ...................... 1 ..... 2 ........ -9
b. Nicotine replacement therapy, such as the patch or gum? .............
1 ..... 2 ........ -9
c. Other prescription medications, for example (FILL RELEVANT
TO THE COUNTRY)? ......................................................................
1 ..... 2 ........ -9
d. Traditional medicines, for example (FILL RELEVANT
TO THE COUNTRY)? .....................................................................
1 ..... 2 ........ -9
e. A quit line or a smoking telephone support line? .............................
1 ..... 2 ........ -9
f. Using electronic cigarettes instead? (FILL BRAND NAMES) .........
1 ..... 2 ........ -9
g. Using heated tobacco products instead? (FILL BRAND NAMES) .
1 ..... 2 ........ -9
h. Try to quit without assistance? ........................................................ 1 ..... 2 ........ -9
Global Adult Tobacco Survey (GATS) 17 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section EC. Electronic Cigarettes
EC1. [MODIFY BASED ON COUNTRY SITUATION:] Now I want to ask you about electronic cigarettes, which
are also called e-cigarettes or vaping devices. These devices are battery powered and heat a liquid to
produce vapor or aerosol instead of smoke. Examples of these products include [NAME LEADING
BRANDS].
Prior to today, have you ever heard of electronic cigarettes or vaping devices?
YES ...............................
1
NO ................................
2 SKIP TO NEXT SECTION C
REFUSED .....................
-9 SKIP TO NEXT SECTION C
EC2. Do you currently use electronic cigarettes or any other vaping device on a daily basis, less than daily, or
not at all?
DAILY ...........................
1 SKIP TO EC5a
LESS THAN DAILY ......
2 SKIP TO EC4
NOT AT ALL .................
3
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION C
REFUSED ..................... -9 SKIP TO NEXT SECTION C
EC3. Have you ever, even once, used an electronic cigarette or any other vaping device?
YES .........................
1
NO ..........................
2 SKIP TO NEXT SECTION C
DON’T KNOW .........
-7 SKIP TO NEXT SECTION C
REFUSED ............... -9 SKIP TO NEXT SECTION C
EC4. Have you ever used electronic cigarettes or any other vaping device daily in the past?
YES .........................
1 GO TO EC5b
NO ..........................
2 SKIP TO ECCOMP1
DON’T KNOW .........
-7 SKIP TO ECCOMP1
REFUSED ............... -9 SKIP TO ECCOMP1
Global Adult Tobacco Survey (GATS) 18 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
EC5a. {IF EC2=1: For how long have you been using electronic cigarettes or any other vaping device on a daily
basis?}
EC5b. {IF EC4=1: For how long did you use electronic cigarettes or any other vaping device on a daily basis?}
Would you say less than 1 month, 1 to 3 months, 4 to 11 months, 1 to 2 years, or more than 2 years?
LESS THAN 1 MONTH .............
1
1 TO 3 MONTHS .......................
2
4 TO 11 MONTHS .....................
3
1 TO 2 YEARS ...........................
4
MORE THAN 2 YEARS .............
5
DON’T KNOW ............................
-7
REFUSED ..................................
-9
ECCOMP1
IF EC2 = 1 OR 2, GO TO EC6
ELSE SKIP TO NEXT SECTION C
EC6. Which of the following are reasons that you use electronic cigarettes or any other vaping device?
YES NO REFUSED
a. [IF B01=1 OR 2:] To quit smoking tobacco? ................................................ 1 ...... 2 ........... -9
b. [IF B03=1 OR 2:] To avoid going back to smoking tobacco? ......................
1 ...... 2 ........... -9
c. Because I enjoy it? .......................................................................................
1 ...... 2 ........... -9
d. Because I'm addicted to it? ...........................................................................
1 ..... 2 ........ -9
e. I can use it at times when or in places where tobacco smoking is
not allowed? .................................................................................................
1 ..... 2 ........ -9
f. It is less harmful than smoking tobacco? ......................................................
1 ..... 2 ........ -9
g. It comes in flavors I like? ..............................................................................
1 ...... 2 ........... -9
h. A friend or family member uses them? .........................................................
1 ...... 2 ........... -9
Global Adult Tobacco Survey (GATS) 19 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section C. Smokeless Tobacco
[C01 – C03 ARE MANDATORY. THE REST OF THE SECTION IS OPTIONAL.]
C01. The next questions are about using smokeless tobacco, such as [FILL APPROPRIATE COUNTRY
EXAMPLES: snuff, chewing tobacco, and dip]. Smokeless tobacco is tobacco that is not smoked, but
is sniffed through the nose, held in the mouth, or chewed.
Do you currently use smokeless tobacco on a daily basis, less than daily, or not at all?
[IF RESPONDENT DOES NOT KNOW WHAT SMOKELESS TOBACCO IS, EITHER PRESENT A
SHOWCARD OR READ DEFINITION FROM QXQ SCREEN]
DAILY ...........................
1 SKIP TO C04
LESS THAN DAILY ......
2
NOT AT ALL .................
3 SKIP TO C03
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION D1
REFUSED .....................
-9 SKIP TO NEXT SECTION D1
C02. Have you used smokeless tobacco daily in the past?
YES ............................... 1 SKIP TO C04
NO ................................
2 SKIP TO C04
DON’T KNOW ...............
-7 SKIP TO C04
REFUSED .....................
-9 SKIP TO C04
C03. In the past, have you used smokeless tobacco on a daily basis, less than daily, or not at all?
[IF RESPONDENT HAS DONE BOTH “DAILY” AND “LESS THAN DAILY” IN THE PAST,
CHECK “DAILY”]
DAILY ...........................
1 SKIP TO C04
LESS THAN DAILY ......
2 SKIP TO C04
NOT AT ALL .................
3 SKIP TO NEXT SECTION D1
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION D1
REFUSED .....................
-9 SKIP TO NEXT SECTION D1
Global Adult Tobacco Survey (GATS) 20 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
C04. How old were you when you first tried using smokeless tobacco, even once?
[IF C04 = DK OR REF, ASK C04a. OTHERWISE GO TO CCOMP1.]
C04a. How many years ago did you first try using smokeless tobacco, even once?
CCOMP1
IF C01 = 1, GO TO C05
IF C02 = 1, GO TO C05
IF C02 = 2, -7, OR -9, GO TO C08
IF C03 = 1, GO TO C05
IF C03 = 2, GO TO C09a
C05. How old were you when you first started using smokeless tobacco daily?
[IF C05 = DK OR REF, ASK C05a. OTHERWISE GO TO CCOMP2.]
C05a. How many years ago did you first start using smokeless tobacco daily?
CCOMP2
IF C01 = 1, GO TO C06
IF C02 = 1, GO TO C08
IF C03 = 1, GO TO C09a
Global Adult Tobacco Survey (GATS) 21 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
[CURRENT DAILY SMOKELESS TOBACCO USERS]
C06. On average, how many times a day do you use the following products? Also, let me know if you
use the product, but not every day.
[IF RESPONDENT REPORTS USING THE PRODUCT BUT NOT EVERY DAY, ENTER 888]
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
a. Snuff, by mouth?
PER DAY
a1. [IF C06a=888] On average, how many times a week do
you currently use snuff, by mouth?
PER WEEK
b. Snuff, by nose?
PER DAY
b1. [IF C06b=888] On average, how many times a week do
you currently use snuff, by nose?
PER WEEK
c. Chewing tobacco?
PER DAY
c1. [IF C06c=888] On average, how many times a week do
you currently use chewing tobacco?
PER WEEK
d. Betel quid with tobacco?
PER DAY
d1. [IF C06d=888] On average, how many times a week do
you currently use betel quid with tobacco?
PER WEEK
e. Any others? ( e1. Please specify the other type you
currently use:_________________________)
PER DAY
e2. [IF C06e=888] On average, how many times a week do
you currently use [FILL PRODUCT]?
PER WEEK
C07. How soon after you wake up do you usually use smokeless tobacco for the first time? Would you say
within 5 minutes, 6 to 30 minutes, 31 to 60 minutes, or more than 60 minutes?
WITHIN 5 MINUTES ..................
1
6 TO 30 MINUTES.....................
2
31 TO 60 MINUTES ..................
3
MORE THAN 60 MINUTES .......
4
REFUSED .................................. -9
[SKIP TO NEXT SECTION D1]
Global Adult Tobacco Survey (GATS) 22 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
[CURRENT LESS THAN DAILY SMOKELESS TOBACCO USERS]
C08. How many times a week do you usually use the following?
[IF RESPONDENT REPORTS USING THE PRODUCT WITHIN THE PAST 30 DAYS, BUT LESS THAN
ONCE PER WEEK, ENTER 888]
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
a. Snuff, by mouth? .................................
TIMES PER WEEK
b. Snuff, by nose? ....................................
TIMES PER WEEK
c. Chewing tobacco? ...............................
TIMES PER WEEK
d. Betel quid with tobacco? .....................
TIMES PER WEEK
e. Any others? .........................................
TIMES PER WEEK
e1. Please specify the other type you currently use:
________________________________________
C09. [ADMINISTERED ONLY IF B01=2 AND C01=2]
You mentioned that you smoke tobacco, but not every day and that you also use smokeless tobacco, but
not every day. Thinking about both smoking tobacco and using smokeless tobacco, would you say you
use tobacco on a daily basis or less than daily?
DAILY ...........................
1
LESS THAN DAILY ......
2
REFUSED .....................
-9
[SKIP TO NEXT SECTION D1]
Global Adult Tobacco Survey (GATS) 23 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
[FORMER SMOKELESS TOBACCO USERS]
C09a. How long has it been since you stopped using smokeless tobacco?
[ONLY INTERESTED IN WHEN RESPONDENT STOPPED USING SMOKELESS TOBACCO
REGULARLY — DO NOT INCLUDE RARE INSTANCES OF USING SMOKELESS TOBACCO
ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
YEARS ..........................
1
MONTHS ......................
2
WEEKS .........................
3
DAYS ............................
4
LESS THAN 1 DAY ......
5 SKIP TO C10
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION D1
REFUSED ..................... -9 SKIP TO NEXT SECTION D1
C09b. [ENTER NUMBER OF (YEARS/MONTHS/WEEKS/DAYS)]
[NO DK/REF]
[IF C09a/b < 1 YEAR (< 12 MONTHS), THEN CONTINUE. OTHERWISE SKIP TO NEXT SECTION D1.]
C09COMP
IF B10 HAS NOT BEEN ASKED CONTINUE WITH C10
IF B10 = YES SKIP TO C12
IF B10 = NO OR REFUSED SKIP TO C14
C10. Have you visited a doctor or other health care provider in the past 12 months?
YES ..................
1
NO ...................
2 SKIP TO C14
REFUSED ........
-9 SKIP TO C14
C11. How many times did you visit a doctor or health care provider in the past 12 months? Would you say
1 or 2 times, 3 to 5 times, or 6 or more times?
1 OR 2 ............. 1
3 TO 5 ..............
2
6 OR MORE .....
3
REFUSED ........ -9
Global Adult Tobacco Survey (GATS) 24 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
C12. During any visit to a doctor or health care provider in the past 12 months, were you asked if you use
smokeless tobacco?
YES ..................
1
NO ...................
2 SKIP TO C14
REFUSED ........
-9 SKIP TO C14
C13. During any visit to a doctor or health care provider in the past 12 months, were you advised to stop
using smokeless tobacco?
YES .................. 1
NO ...................
2
REFUSED ........ -9
C14. During the past 12 months, did you use any of the following to try to stop using smokeless tobacco?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
YES NO REFUSED
a. Counseling, including at a cessation clinic? .................................... 1 ..... 2 ........ -9
b. Nicotine replacement therapy, such as the patch or gum? .............
1 ..... 2 ........ -9
c. Other prescription medications, for example (FILL RELEVANT
TO THE COUNTRY)? ......................................................................
1 ..... 2 ........ -9
d. Traditional medicines, for example (FILL RELEVANT
TO THE COUNTRY)? .....................................................................
1 ..... 2 ........ -9
e. A quit line or a telephone support line? ...........................................
1 ..... 2 ........ -9
f. Using electronic cigarettes instead? (FILL BRAND NAMES) .........
1 ..... 2 ........ -9
g. Using heated tobacco products instead? (FILL BRAND NAMES) . 1 ..... 2 ........ -9
h. Try to quit without assistance? ........................................................ 1 ..... 2 ........ -9
Global Adult Tobacco Survey (GATS) 25 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section D1. Cessation Tobacco Smoking
D00COMP
IF B01 = 1 OR 2 (RESPONDENT CURRENTLY SMOKES TOBACCO), CONTINUE WITH THIS SECTION.
IF B01 = 3, -7, OR -9 (RESPONDENT DOES NOT CURRENTLY SMOKE TOBACCO), SKIP TO NEXT SECTION D2.
D01. The next questions ask about any attempts to stop smoking that you might have made during the
past 12 months. Please think about tobacco smoking.
During the past 12 months, have you tried to stop smoking?
YES ..................
1
NO ...................
2 SKIP TO INSTRUCTION BEFORE D04
REFUSED ........
-9 SKIP TO INSTRUCTION BEFORE D04
D02a. Thinking about the last time you tried to quit, how long did you stop smoking?
[ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
MONTHS ..........................................
1
WEEKS .............................................
2
DAYS ................................................
3
LESS THAN 1 DAY (24 HOURS) .....
4 SKIP TO D03
DON’T KNOW ...................................
-7 SKIP TO D03
REFUSED ......................................... -9 SKIP TO D03
D02b. [ENTER NUMBER OF (MONTHS/WEEKS/DAYS)]
[NO DK/REF]
D03. During the past 12 months, did you use any of the following to try to stop smoking tobacco?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
YES NO REFUSED
a. Counseling, including at a smoking cessation clinic? ...................... 1 ..... 2 .......... -9
b. Nicotine replacement therapy, such as the patch or gum? .............
1 ..... 2 .......... -9
c. Other prescription medications, for example (FILL RELEVANT
TO THE COUNTRY)? ......................................................................
1 ..... 2 .......... -9
d. Traditional medicines, for example (FILL RELEVANT TO THE
COUNTRY)? ....................................................................................
1 ..... 2 .......... -9
e. A quit line or a smoking telephone support line? .............................
1 ..... 2 .......... -9
f. Using electronic cigarettes instead? (FILL BRAND NAMES) .........
1 ..... 2 .......... -9
g. Using heated tobacco products instead? (FILL BRAND NAMES) .
1 ..... 2 .......... -9
h. Try to quit without assistance? ........................................................ 1 ..... 2 .......... -9
Global Adult Tobacco Survey (GATS) 26 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
D03COMP
IF C10 HAS NOT BEEN ASKED CONTINUE WITH D04
IF C10 = YES SKIP TO D06
IF C10 = NO OR REFUSED SKIP TO D08
D04. Have you visited a doctor or other health care provider in the past 12 months?
YES ..................
1
NO ...................
2 SKIP TO D08
REFUSED ........
-9 SKIP TO D08
D05. How many times did you visit a doctor or health care provider in the past 12 months? Would you say
1 or 2 times, 3 to 5 times, or 6 or more times?
1 OR 2 ............. 1
3 TO 5 ..............
2
6 OR MORE .....
3
REFUSED ........
-9
D06. During any visit to a doctor or health care provider in the past 12 months, were you asked if you
smoke tobacco?
YES ..................
1
NO ...................
2 SKIP TO D08
REFUSED ........
-9 SKIP TO D08
D07. During any visit to a doctor or health care provider in the past 12 months, were you advised to quit
smoking tobacco?
YES .................. 1
NO ...................
2
REFUSED ........ -9
D08. Which of the following best describes your thinking about quitting smoking? I am planning to quit within
the next month, I am thinking about quitting within the next 12 months, I will quit someday but not within
the next 12 months, or I am not interested in quitting?
QUIT WITHIN THE NEXT MONTH .......................... 1
THINKING WITHIN THE NEXT 12 MONTHS .......... 2
QUIT SOMEDAY, BUT NOT NEXT 12 MONTHS. ... 3
NOT INTERESTED IN QUITTING ...........................
4
DON’T KNOW ...........................................................
-7
REFUSED ................................................................. -9
Global Adult Tobacco Survey (GATS) 27 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section D2. Cessation Smokeless Tobacco
D08COMP
IF C01 = 1 OR 2 (RESPONDENT CURRENTLY USES SMOKELESS TOBACCO), CONTINUE WITH THIS SECTION.
IF C01 = 3, -7, OR -9 (RESPONDENT DOES NOT CURRENTLY USE SMOKELESS TOB), SKIP TO NEXT SECTION E.
D09. The next questions ask about any attempts to stop using smokeless tobacco that you might have made
during the past 12 months. Please think about your use of smokeless tobacco.
During the past 12 months, have you tried to stop using smokeless tobacco?
YES ..................
1
NO ...................
2 SKIP TO INSTRUCTION BEFORE D12
REFUSED ........
-9 SKIP TO INSTRUCTION BEFORE D12
D10a. Thinking about the last time you tried to quit, how long did you stop using smokeless tobacco?
[ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
MONTHS ..........................................
1
WEEKS .............................................
2
DAYS ................................................
3
LESS THAN 1 DAY (24 HOURS) .....
4 SKIP TO D11
DON’T KNOW ...................................
-7 SKIP TO D11
REFUSED ......................................... -9 SKIP TO D11
D10b. [ENTER NUMBER OF (MONTHS/WEEKS/DAYS)]
[NO DK/REF]
D11. During the past 12 months, have you used any of the following to try and stop using smokeless tobacco?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
YES NO REFUSED
a. Counseling, including at a cessation clinic? .................................... 1 ..... 2 .......... -9
b. Nicotine replacement therapy, such as the patch or gum? .............
1 ..... 2 .......... -9
c. Other prescription medications, for example (FILL RELEVANT
TO THE COUNTRY)? ......................................................................
1 ..... 2 .......... -9
d. Traditional medicines, for example (FILL RELEVANT
TO THE COUNTRY)? ......................................................................
1 ..... 2 .......... -9
e. A quit line or a telephone support line? ...........................................
1 ..... 2 .......... -9
f. Using electronic cigarettes instead? (FILL BRAND NAMES) .........
1 ..... 2 .......... -9
g. Using heated tobacco products instead? (FILL BRAND NAMES) . 1 ..... 2 .......... -9
h. Try to quit without assistance? ........................................................ 1 ..... 2 .......... -9
Global Adult Tobacco Survey (GATS) 28 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
D11COMP
IF BOTH B10 AND D04 HAVE NOT BEEN ASKED CONTINUE WITH D12
IF B10 OR D04 = YES SKIP TO D14
IF B10 OR D04 = NO OR REFUSED SKIP TO D16
D12. Have you visited a doctor or other health care provider in the past 12 months?
YES ..................
1
NO ...................
2 SKIP TO D16
REFUSED ........
-9 SKIP TO D16
D13. How many times did you visit a doctor or health care provider in the past 12 months? Would you say
1 or 2 times, 3 to 5 times, or 6 or more times?
1 OR 2 ............. 1
3 TO 5 ..............
2
6 OR MORE .....
3
REFUSED ........ -9
D14. During any visit to a doctor or health care provider in the past 12 months, were you asked if you use
smokeless tobacco?
YES ..................
1
NO ...................
2 SKIP TO D16
REFUSED ........
-9 SKIP TO D16
D15. During any visit to a doctor or health care provider in the past 12 months, were you advised to stop using
smokeless tobacco?
YES .................. 1
NO ...................
2
REFUSED ........ -9
D16. Which of the following best describes your thinking about quitting smokeless tobacco? I am planning to
quit within the next month, I am thinking about quitting within the next 12 months, I will quit someday but
not within the next 12 months, or I am not interested in quitting?
QUIT WITHIN THE NEXT MONTH .......................... 1
THINKING WITHIN THE NEXT 12 MONTHS .......... 2
QUIT SOMEDAY, BUT NOT NEXT 12 MONTHS. ... 3
NOT INTERESTED IN QUITTING ...........................
4
DON’T KNOW ...........................................................
-7
REFUSED ................................................................. -9
Global Adult Tobacco Survey (GATS) 29 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section E. Secondhand Smoke
E01. I would now like to ask you a few questions about smoking in various places.
Which of the following best describes the rules about smoking inside of your home: Smoking is allowed
inside of your home, smoking is generally not allowed inside of your home but there are exceptions,
smoking is never allowed inside of your home, or there are no rules about smoking in your home?
ALLOWED ..............................................
1
NOT ALLOWED, BUT EXCEPTIONS ....
2
NEVER ALLOWED .................................
3 SKIP TO E04
NO RULES .............................................
4 SKIP TO E03
DON’T KNOW .........................................
-7 SKIP TO E03
REFUSED ...............................................
-9 SKIP TO E03
E02. Inside your home, is smoking allowed in every room?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E03. How often does anyone smoke inside your home? Would you say daily, weekly, monthly, less than
monthly, or never?
DAILY ..................................
1
WEEKLY ..............................
2
MONTHLY ...........................
3
LESS THAN MONTHLY ......
4
NEVER ................................
5
DON’T KNOW ......................
-7
REFUSED ............................ -9
E04. Do you currently work outside of your home?
YES ......................................
1
NO/DON’T WORK ............... 2 SKIP TO E09
REFUSED ............................
-9 SKIP TO E09
E05. Do you usually work indoors or outdoors?
INDOORS ...............
1 SKIP TO E07
OUTDOORS ...........
2
BOTH ......................
3 SKIP TO E07
REFUSED ...............
-9
Global Adult Tobacco Survey (GATS) 30 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
E06. Are there any indoor areas at your work place?
YES .........................
1
NO ..........................
2 SKIP TO E09
DON’T KNOW .........
-7 SKIP TO E09
REFUSED ...............
-9 SKIP TO E09
E07. Which of the following best describes the indoor smoking policy where you work: Smoking is allowed
anywhere, smoking is allowed only in some indoor areas, smoking is not allowed in any indoor areas,
or there is no policy?
ALLOWED ANYWHERE .....................................
1
ALLOWED ONLY IN SOME INDOOR AREAS ...
2
NOT ALLOWED IN ANY INDOOR AREAS .........
3
THERE IS NO POLICY .......................................
4
DON’T KNOW ......................................................
-7
REFUSED ............................................................ -9
E08. During the past 30 days, did anyone smoke in indoor areas where you work?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E09. During the past 30 days, did you visit any government buildings or government offices?
YES .........................
1
NO ..........................
2 SKIP TO E11
DON’T KNOW .........
-7 SKIP TO E11
REFUSED ...............
-9 SKIP TO E11
E10. Did anyone smoke inside of any government buildings or government offices that you visited in the past
30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 31 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
E11. During the past 30 days, did you visit any health care facilities?
YES .........................
1
NO ..........................
2 SKIP TO E13
DON’T KNOW .........
-7 SKIP TO E13
REFUSED ...............
-9 SKIP TO E13
E12. Did anyone smoke inside of any health care facilities that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E13. During the past 30 days, did you visit any restaurants?
YES ......................... 1
NO ..........................
2 SKIP TO E15
DON’T KNOW .........
-7 SKIP TO E15
REFUSED ...............
-9 SKIP TO E15
E14. Did anyone smoke inside of any restaurants that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E15. During the past 30 days, did you visit any bars or night clubs?
YES ......................... 1
NO ..........................
2 SKIP TO E17
DON’T KNOW .........
-7 SKIP TO E17
REFUSED ...............
-9 SKIP TO E17
E16. Did anyone smoke inside of any bars or night clubs that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 32 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
E17. During the past 30 days, did you use any public transportation?
YES .........................
1
NO ..........................
2 SKIP TO E19
DON’T KNOW .........
-7 SKIP TO E19
REFUSED ...............
-9 SKIP TO E19
E18. Did anyone smoke inside of any public transportation that you used in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E19. During the past 30 days, did you visit any universities?
YES ......................... 1
NO ..........................
2 SKIP TO E21
DON’T KNOW .........
-7 SKIP TO E21
REFUSED ...............
-9 SKIP TO E21
E20. Did anyone smoke inside of any university buildings that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E21. During the past 30 days, did you visit any schools?
YES ......................... 1
NO ..........................
2 SKIP TO E23
DON’T KNOW .........
-7 SKIP TO E23
REFUSED ...............
-9 SKIP TO E23
E22. Did anyone smoke inside of any school buildings that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E23. Based on what you know or believe, does breathing other people’s smoke cause serious illness
in non-smokers?
YES ......................... 1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 33 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section F. Economics Manufactured Cigarettes
F00COMP
IF [B01 = 1 OR 2 (RESPONDENT CURRENTLY SMOKES DAILY OR LESS THAN DAILY)]
AND
[(B06a OR B08a) > 0 AND <= 888 (RESPONDENT SMOKES MANUFACTURED CIGARETTES)],
THEN CONTINUE WITH THIS SECTION.
OTHERWISE, SKIP TO NEXT SECTION G.
F01a. The next few questions are about the last time you purchased cigarettes for yourself to smoke.
The last time you bought cigarettes for yourself, did you buy loose cigarettes, packs, cartons, or
something else?
[DO NOT INCLUDE ELECTRONIC CIGARETTES OR HEATED TOBACCO PRODUCTS]
CIGARETTES ...................................
1
PACKS ..............................................
2
CARTONS ........................................
3
OTHER (SPECIFY) ..........................
4 F01c. [SPECIFY THE UNIT]:_____________________
NEVER BOUGHT CIGARETTES .....
5 SKIP TO NEXT SECTION G
REFUSED .........................................
-9 SKIP TO F03
F01b. The last time you bought cigarettes for yourself, how many {FILL F01a: cigarettes/packs/cartons/{FILL
F01c}} did you buy?
[NO DK/REF]
[IF F01a=CIGARETTES, GO TO F02]
[IF F01a=PACKS, GO TO F01dPack]
[IF F01a=CARTONS, GO TO F01dCart]
[IF F01a=OTHER, GO TO F01dOther]
F01dPack. Did each pack contain 10 cigarettes, 20 cigarettes, or another amount?
[ADJUST AMOUNTS/CATEGORIES FOR SPECIFIC COUNTRY]
10 ...........................
1
20 ...........................
2
OTHER AMOUNT ..
7 F01dPackA. How many cigarettes were in each pack? [NO DK/REF]
DON’T KNOW ........
-7
REFUSED .............. -9
[GO TO F02]
Global Adult Tobacco Survey (GATS) 34 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
F01dCart. Did each carton contain 100 cigarettes, 200 cigarettes, or another amount?
[ADJUST AMOUNTS/CATEGORIES FOR SPECIFIC COUNTRY]
100 .........................
1
200 .........................
2
OTHER AMOUNT ..
7 F01dCartA. How many cigarettes were in each carton? [NO DK/REF]
DON’T KNOW ........
-7
REFUSED .............. -9
[GO TO F02]
F01dOther. How many cigarettes were in each {F01c}?
F02. In total, how much money did you pay for this purchase?
RANGE: 1-500 [ADJUST RANGE FOR SPECIFIC COUNTRY]
F03. What brand did you buy the last time you purchased cigarettes for yourself?
[INSERT LIST OF BRANDS FOR SPECIFIC COUNTRY]
? .................................................
1
? .................................................
2
? .................................................
3
OTHER ......................................
? F03a. [SPECIFY BRAND]:_________________________
REFUSED ..................................
-9
F04. The last time you purchased cigarettes for yourself, where did you buy them?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
VENDING MACHINE .................
1
STORE ......................................
2
STREET VENDOR ....................
3
MILITARY STORE .....................
4
DUTY-FREE SHOP ...................
5
OUTSIDE THE COUNTRY ........
6
KIOSKS ..................................... 7
INTERNET ................................. 8
FROM ANOTHER PERSON ..... 9
OTHER ......................................
10 F04a. [SPECIFY LOCATION]:______________________
DON’T REMEMBER ..................
-7
REFUSED .................................. -9
Global Adult Tobacco Survey (GATS) 35 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section G. Media
Structure #1 Asking about only one product (e.g., cigarettes)
G01intro. The next few questions ask about your exposure to the media and advertisements in the last 30 days. I
will first ask about noticing anti-cigarette information and then ask about noticing cigarette
advertisements and promotions.
G01. In the last 30 days, have you noticed information about the dangers of smoking cigarettes or that
encourages quitting in any of the following places?
[ADJUST CATEGORIES FOR
SPECIFIC COUNTRY]
YES
NO
NOT
APPLICABLE
REFUSED
a. In newspapers or in magazines? ..... 1 ....... 2 ............. 7 .................. -9
b. On television? ..................................
1 ....... 2 ............. 7 .................. -9
c. On the radio? ...................................
1 ....... 2 ............. 7 .................. -9
d. On billboards? ..................................
1 ....... 2 ............. 7 .................. -9
e. On the internet? ...............................
1 ....... 2 ............. 7 .................. -9
f. Somewhere else? ............................
1 ....... 2 ....................................... -9
[DO NOT INCLUDE HEALTH WARNINGS ON CIGARETTE PACKAGES]
f1. Please specify where: _____________________________________
G02COMP
IF B01 = 1 OR 2 (RESPONDENT CURRENTLY SMOKES TOBACCO), GO TO G02. ELSE, GO TO G04
G02. In the last 30 days, did you notice any health warnings on cigarette packages?
YES ......................................................................
1
NO .......................................................................
2 SKIP TO G04
DID NOT SEE ANY CIGARETTE PACKAGES ...
3 SKIP TO G04
REFUSED ............................................................
-9 SKIP TO G04
G03. In the last 30 days, have warning labels on cigarette packages led you to think about quitting?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 36 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
G04. In the last 30 days, have you noticed any advertisements or signs promoting cigarettes in the following
places?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY -
ITEM “a” IS MANDATORY]
YES
NO
NOT
APPLICABLE
REFUSED
a. In stores where cigarettes are sold? ................................... 1 ....... 2 ............ 7 .............. -9
b. On television? ..................................................................... 1 ....... 2 ............ 7 .............. -9
c. On the radio? ......................................................................
1 ....... 2 ............ 7 .............. -9
d. On billboards? .....................................................................
1 ....... 2 ............ 7 .............. -9
e. On posters? ........................................................................
1 ....... 2 ............ 7 .............. -9
f. In newspapers or magazines? ............................................
1 ....... 2 ............ 7 .............. -9
g. In cinemas? ........................................................................
1 ....... 2 ............ 7 .............. -9
h. On the internet? .................................................................
1 ....... 2 ............ 7 .............. -9
i. On public transportation vehicles or stations? ...................
1 ....... 2 ............ 7 .............. -9
j. On public walls? .................................................................
1 ....... 2 ............ 7 .............. -9
k. Anywhere else? ..................................................................
1 ....... 2 .................................. -9
k1. Please specify where: __________________________
G05. In the last 30 days, have you noticed any sport or sporting event that is associated with cigarette brands
or cigarette companies?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
G06. In the last 30 days, have you noticed any of the following types of cigarette promotions?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
YES
NO
DON’T
KNOW
REFUSED
a. Free samples of cigarettes? ............................................... 1 ....... 2 ........ -7 .......... -9
b. Cigarettes at sale prices? ...................................................
1 ....... 2 ........ -7 .......... -9
c. Coupons for cigarettes? ......................................................
1 ....... 2 ........ -7 .......... -9
d. Free gifts or special discount offers on other
products when buying cigarettes? ..................................
1 ....... 2 ........ -7 .......... -9
e. Clothing or other items with a cigarette
brand name or logo? .......................................................
1 ....... 2 ........ -7 .......... -9
f. Cigarette promotions in the mail? .......................................
1 ....... 2 ........ -7 .......... -9
Global Adult Tobacco Survey (GATS) 37 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Structure #2 Asking about two or more products (e.g., cigarettes, bidis/waterpipe, smokeless
tobacco)
G201intro. The next few questions ask about your exposure to the media and advertisements in the last 30 days.
I will first ask about noticing anti-tobacco information and then ask about noticing tobacco
advertisements and promotions.
G201. In the last 30 days, have you noticed information about the dangers of smoking cigarettes or that
encourages quitting in any of the following places?
[ADJUST CATEGORIES FOR
SPECIFIC COUNTRY]
YES
NO
NOT
APPLICABLE
REFUSED
a1. In newspapers or in magazines? ... 1 ....... 2 ............. 7 .................. -9
b1. On television? ................................
1 ....... 2 ............. 7 .................. -9
c1. On the radio? .................................
1 ....... 2 ............. 7 .................. -9
d1. On billboards? ................................
1 ....... 2 ............. 7 .................. -9
e1. On the internet? .............................
1 ....... 2 ............. 7 .................. -9
f1. Somewhere else? ..........................
1 ....... 2 ....................................... -9
[DO NOT INCLUDE HEALTH WARNINGS ON CIGARETTE PACKAGES]
f1a. Please specify where: _____________________________________
G201. In the last 30 days, have you noticed information about the dangers of smoking [bidis/waterpipe] or that
encourages quitting in any of the following places?
[ADJUST CATEGORIES FOR
SPECIFIC COUNTRY]
YES
NO
NOT
APPLICABLE
REFUSED
a2. In newspapers or in magazines? ... 1 ....... 2 ............. 7 .................. -9
b2. On television? ................................
1 ....... 2 ............. 7 .................. -9
c2. On the radio? .................................
1 ....... 2 ............. 7 .................. -9
d2. On billboards? ................................
1 ....... 2 ............. 7 .................. -9
e2. On the internet? .............................
1 ....... 2 ............. 7 .................. -9
f2. Somewhere else? ..........................
1 ....... 2 ....................................... -9
[DO NOT INCLUDE HEALTH WARNINGS ON [BIDI/WATERPIPE] PACKAGES]
f2a. Please specify where: _____________________________________
G201. In the last 30 days, have you noticed information about the dangers of using smokeless tobacco or that
encourages quitting in any of the following places?
[ADJUST CATEGORIES FOR
SPECIFIC COUNTRY]
YES
NO
NOT
APPLICABLE
REFUSED
a3. In newspapers or in magazines? ... 1 ....... 2 ............. 7 .................. -9
b3. On television? ................................
1 ....... 2 ............. 7 .................. -9
c3. On the radio? .................................
1 ....... 2 ............. 7 .................. -9
d3. On billboards? ................................
1 ....... 2 ............. 7 .................. -9
e3. On the internet? .............................
1 ....... 2 ............. 7 .................. -9
f3. Somewhere else? ..........................
1 ....... 2 ....................................... -9
[DO NOT INCLUDE HEALTH WARNINGS ON SMOKELESS TOBACCO PACKAGES]
f3a. Please specify where: _____________________________________
Global Adult Tobacco Survey (GATS) 38 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
G202COMP
IF B01 = 1 OR 2 (RESPONDENT CURRENTLY SMOKES TOBACCO), GO TO G202a. ELSE, GO TO G202BCOMP.
G202a. In the last 30 days, did you notice any health warnings on cigarette packages?
YES ......................................................................
1
NO .......................................................................
2 SKIP TO NEXT INSTRUCTION
DID NOT SEE ANY CIGARETTE PACKAGES ...
3 SKIP TO NEXT INSTRUCTION
REFUSED ............................................................
-9 SKIP TO NEXT INSTRUCTION
G203a. In the last 30 days, have warning labels on cigarette packages led you to think about quitting?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
G202BCOMP
IF B01 = 1 OR 2 AND CURRENTLY SMOKES [PRODUCT], GO TO G202b. ELSE, GO TO G202CCOMP.
G202b. In the last 30 days, did you notice any health warnings on [bidi/waterpipe] packages?
YES ...................................................................................
1
NO ....................................................................................
2 SKIP TO NEXT INSTRUCTION
DID NOT SEE ANY [BIDI/WATERPIPE] PACKAGES ....
3 SKIP TO NEXT INSTRUCTION
REFUSED .........................................................................
-9 SKIP TO NEXT INSTRUCTION
G203b. In the last 30 days, have warning labels on [bidi/waterpipe] packages led you to think about quitting?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
G202CCOMP
IF C01 = 1 OR 2 (RESPONDENT CURRENTLY USES SMOKELESS TOBACCO), GO TO G202c. ELSE, GO TO G204.
G202c. In the last 30 days, did you notice any health warnings on smokeless tobacco products?
YES ......................................................................
1
NO .......................................................................
2 SKIP TO G204
DID NOT SEE ANY SMOKELESS PRODUCTS .
3 SKIP TO G204
REFUSED ............................................................
-9 SKIP TO G204
G203c. In the last 30 days, have warning labels on smokeless tobacco products led you to think about quitting?
YES ...............................
1
NO ................................
2
DON’T KNOW ...............
-7
REFUSED ..................... -9
Global Adult Tobacco Survey (GATS) 39 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
G204. I will now ask you about noticing marketing of any tobacco products including smoking and smokeless
tobacco. In the last 30 days, have you noticed any advertisements or signs promoting any tobacco
products (smoked and/or smokeless) in the following places?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY -
ITEM “a” IS MANDATORY]
YES
NO
NOT
APPLICABLE
REFUSED
a. In stores where tobacco is sold? ........................................ 1 ....... 2 ............ 7 .............. -9
b. On television? ..................................................................... 1 ....... 2 ............ 7 .............. -9
c. On the radio? ......................................................................
1 ....... 2 ............ 7 .............. -9
d. On billboards? .....................................................................
1 ....... 2 ............ 7 .............. -9
e. On posters? ........................................................................
1 ....... 2 ............ 7 .............. -9
f. In newspapers or magazines? ............................................
1 ....... 2 ............ 7 .............. -9
g. In cinemas? ........................................................................
1 ....... 2 ............ 7 .............. -9
h. On the internet? .................................................................
1 ....... 2 ............ 7 .............. -9
i. On public transportation vehicles or stations? ...................
1 ....... 2 ............ 7 .............. -9
j. On public walls? .................................................................
1 ....... 2 ............ 7 .............. -9
k. Anywhere else? ..................................................................
1 ....... 2 .................................. -9
k1. Please specify where: __________________________
G205. In the last 30 days, have you noticed any sport or sporting event that is associated with any tobacco
product brand or company (smoked and/or smokeless)?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
G206. In the last 30 days, have you noticed any of the following types of tobacco product (smoked and/or
smokeless) promotions?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
YES
NO
DON’T
KNOW
REFUSED
a. Free samples of tobacco products? ................................... 1 ....... 2 ........ -7 .......... -9
b. Tobacco products at sale prices? .......................................
1 ....... 2 ........ -7 .......... -9
c. Coupons for tobacco products? ..........................................
1 ....... 2 ........ -7 .......... -9
d. Free gifts or special discount offers on other
products when buying tobacco products? ......................
1 ....... 2 ........ -7 .......... -9
e. Clothing or other items with a tobacco product
brand name or logo? .......................................................
1 ....... 2 ........ -7 .......... -9
f. Tobacco product promotions in the mail? ...........................
1 ....... 2 ........ -7 .......... -9
Global Adult Tobacco Survey (GATS) 40 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Section H. Knowledge, Attitudes & Perceptions
H01. The next question is asking about smoking tobacco.
Based on what you know or believe, does smoking tobacco cause serious illness?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
H02. Based on what you know or believe, does smoking tobacco cause the following…
YES
NO
DON’T
KNOW
REFUSED
a. Stroke (blood clots in the brain
that may cause paralysis)? ............
1 ....... 2 ........... -7 .............. -9
b. Heart attack? ...................................
1 ....... 2 ........... -7 .............. -9
c. Lung cancer? ...................................
1 ....... 2 ........... -7 .............. -9
d. Diabetes? .........................................
1 ....... 2 ........... -7 .............. -9
e. Emphysema? ...................................
1 ....... 2 ........... -7 .............. -9
H03. Based on what you know or believe, does using smokeless tobacco cause serious illness?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 41 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
End Individual Questionnaire
I00. Those are all of the questions I have. Thank you very much for partcipating in this important survey.
I02. [RECORD ANY NOTES ABOUT INTERVIEW:]
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Global Adult Tobacco Survey (GATS) 42 Core Questionnaire with Optional Questions
September 2020 Core Individual Questionnaire
Global Adult Tobacco Survey (GATS) 43 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
List of Optional Questions
Household Questionnaire
HH3. How many (male/female) household members are 15 years of age or older?
[NO DK/REF]
[IF HH3 = 00 (NO MALE/FEMALE HOUSEHOLD MEMBERS 15 IN HOUSEHOLD)]
[THERE ARE NO ELIGIBLE HOUSEHOLD MEMBERS.
THANK THE RESPONDENT FOR HIS/HER TIME.
THIS WILL BE RECORDED IN THE VISIT RECORD AS A CODE 201.]
HH4f. ADD A QUESTION ON “RELATIONSHIP TO HEAD OF HOUSEHOLD” IN CREATING HOUSEHOLD
ROSTER.
Section A. Background Characteristics
A04a. Can you read and write?
YES .........................
1
NO ..........................
2
REFUSED ............... -9
A05a. [ONLY ADMINISTERED IF A05 = 1, 2, or 3]
Which of the following best describes your main job description over the past 12 months?
[RESPONSE CATEGORIES WILL BE DEVELOPED BY SPECIFIC COUNTRY
AND TECHNICAL COMMITTEE]
? ......................................
1
? ......................................
2
? ......................................
3
OTHER (SPECIFY) ........
? A05a1. [SPECIFY JOB DESCRIPTION]:_____________________
DON’T KNOW ................. -7
REFUSED ....................... -9
Global Adult Tobacco Survey (GATS) 44 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
A06. Please tell me whether this household or any person who lives in the household has the following items:
[ITEMS WILL BE DEVELOPED BY SPECIFIC COUNTRY AND TECHNICAL COMMITTEE]
YES
NO
DON’T
KNOW
REFUSED
k. ? ............................................ 1 ..... 2 ......... -7 ............ -9
l. ? ............................................
1 ..... 2 ......... -7 ............ -9
m. ? ............................................
1 ..... 2 ......... -7 ............ -9
A07. What is your racial/ethnic background?
[RESPONSE CATEGORIES WILL BE DEVELOPED BY SPECIFIC COUNTRY
AND TECHNICAL COMMITTEE]
? ......................................
1
? ......................................
2
? ......................................
3
? ......................................
4
DON’T KNOW ................. -7
REFUSED ....................... -9
A08. What is your religion?
[RESPONSE CATEGORIES WILL BE DEVELOPED BY SPECIFIC COUNTRY
AND TECHNICAL COMMITTEE]
HINDU ............................
1
MUSLIM ..........................
2
CHRISTIAN ....................
3
BUDDHISM .....................
4
OTHER ...........................
5 A08a. [SPECIFY]:____________________________
NONE .............................
6
DON’T KNOW .................
-7
REFUSED ....................... -9
A09. What is your marital status? Would you say single, married, separated, divorced, or widowed?
SINGLE ...........................
1
MARRIED .......................
2
SEPARATED ..................
3
DIVORCED .....................
4
WIDOWED ......................
5
REFUSED ....................... -9
Global Adult Tobacco Survey (GATS) 45 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Section B. Tobacco Smoking
B14. During the past 12 months, did you use any of the following to try to stop smoking tobacco?
xx. Switching to smokeless tobacco?
B15. When you quit smoking, which of the following reasons led you to think about quitting smoking?
YES
NO
DON’T
KNOW
REFUSED
a. Concern for your own health? ............................................... 1 ..... 2 .......... -7 ........... -9
b. Concern about the health effects of your tobacco
smoke on non-smokers? ......................................................
1 ..... 2 .......... -7 ........... -9
c. That society disapproves of smoking? ..................................
1 ..... 2 .......... -7 ........... -9
d. The price of smoking tobacco products? ...............................
1 ..... 2 .......... -7 ........... -9
e. Smoking is/was not allowed in your home? ...........................
1 ..... 2 .......... -7 ........... -9
f. Indoor smoking restrictions at work or public places? ...........
1 ..... 2 .......... -7 ........... -9
g. Wanting to set a good example for children? ........................
1 ..... 2 .......... -7 ........... -9
h. Close friends and family disapprove(d) of your smoking? .....
1 ..... 2 .......... -7 ........... -9
Section EC. Electronic Cigarettes
(ASK OF ALL WHO’VE EVER TRIED AN E-CIG)
EC5x1a. How old were you when you first tried using an electronic cigarette or any other vaping device, even
once?
[IF EC5x1a = DK OR REF, ASK EC5x1b. OTHERWISE SKIP TO NEXT QUESTION.]
EC5x1b. How many years ago did you first try using an electronic cigarette or any other vaping device, even
once?
Global Adult Tobacco Survey (GATS) 46 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
(ASK OF FORMER DAILY USERS)
EC5x2a. How long has it been since you stopped using electronic cigarettes or any other vaping device?
[ONLY INTERESTED IN WHEN RESPONDENT STOPPED USING REGULARLY – DO NOT
INCLUDE RARE INSTANCES OF USE
ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
YEARS ..........................
1
MONTHS .......................
2
WEEKS .........................
3
DAYS.............................
4
LESS THAN 1 DAY .......
5 SKIP TO NEXT QUESTION
DON’T KNOW ...............
-7 SKIP TO NEXT QUESTION
REFUSED ..................... -9 SKIP TO NEXT QUESTION
EC5x2b. [ENTER NUMBER OF (YEARS/MONTHS/WEEKS/DAYS)]
[NO DK/REF]
(ASK OF CURRENT USERS)
EC7. What brand of electronic cigarette or other vaping device do you currently use?
[IF MORE THAN ONE TYPE IS USED, SELECT BRAND USED MOST RECENTLY]
[RESPONSE CATEGORIES WILL BE DEVELOPED BY COUNTRY]
JUUL ..........................................
1
A ................................................
2
B ................................................
3
OTHER ......................................
4 EC7a. [SPECIFY]:____________________________
DON’T KNOW ............................
-7
REFUSED ..................................
-9
Global Adult Tobacco Survey (GATS) 47 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
(ASK OF CURRENT USERS)
EC8. What is the primary flavor of the electronic cigarette or vaping device you currently use?
[IF MORE THAN ONE FLAVOR IS USED, SELECT FLAVOR USED MOST RECENTLY]
[RESPONSE CATEGORIES WILL BE DEVELOPED BY COUNTRY]
TOBACCO FLAVOR ..................................................................
1
MENTHOL OR MINT ..................................................................
2
CLOVE OR SPICE .....................................................................
3
FRUIT FLAVOR ..........................................................................
4
CHOCOLATE, CANDY, DESSERTS, OR OTHER SWEETS ....
5
AN ALCOHOLIC DRINK (SUCH AS WINE/COGNAC/
MARGARITA/OTHER COCKTAILS) ........................................
6
A NON-ALCOHOLIC DRINK (SUCH AS COFFEE/SODA/
ENERGY DRINKS/OTHER) .....................................................
7
SOME OTHER FLAVOR ............................................................
8 EC8a. [SPECIFY]:___________
NO FLAVOR ...............................................................................
9
DON’T KNOW .............................................................................
-7
REFUSED ...................................................................................
-9
(ASK OF CURRENT USERS)
EC9. Which of the following types of electronic cigarette or vaping device do you currently use: a disposable
device that is not rechargeable; a device that uses replaceable pre-filled pods or cartridges and is
rechargeable; or a device with a tank that you refill with liquids and is rechargeable?
[IF MORE THAN ONE TYPE IS USED, SELECT DEVICE USED MOST RECENTLY]
DISPOSABLE DEVICE THAT IS NOT RECHARGEABLE .........................................................
1
DEVICE USES REPLACEABLE PRE-FILLED PODS OR CARTRIDGES AND IS
RECHARGEABLE .......................................................................................................................
2
DEVICE WITH A TANK THAT REFILLS WITH LIQUIDS AND IS RECHARGEABLE ............... 3
DON’T KNOW ..............................................................................................................................
-7
REFUSED ....................................................................................................................................
-9
(ASK OF CURRENT USERS)
EC10. Does the electronic cigarette or other vaping device that you currently use contain nicotine?
[IF MORE THAN ONE DEVICE IS USED, REFER TO DEVICE USED MOST RECENTLY]
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 48 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
(ASK OF CURRENT USERS)
EC11. In the past 30 days, how much money did you spend on electronic cigarettes?
[INCLUDE PURCHASE OF DEVICES AND ALL CONSUMABLES INCLUDING LIQUID CONTAINERS
AND RESISTANCE PRODUCTS]
[RESPONSE CATEGORIES WILL BE DEVELOPED BY COUNTRY]
LESS THAN X ...........................
1
X TO X .......................................
2
X TO X .......................................
3
X TO X .......................................
4
MORE THAN X ..........................
5
DON’T KNOW ............................
-7
REFUSED ..................................
-9
(ASK OF EVER E-CIGARETTE USERS WHO CURRENTLY SMOKE CIGARETTES)
EC12. How satisfying is using electronic cigarettes or any other vaping device compared to smoking ordinary
cigarettes? Would you say that using electronic cigarettes is much less satisfying than smoking ordinary
cigarettes; a little less satisfying than smoking ordinary cigarettes; about as satisfying as smoking ordinary
cigarettes; a little more satisfying than smoking ordinary cigarettes; or much more satisfying than smoking
ordinary cigarettes?
MUCH LESS SATISFYING ...........................................................
1
A LITTLE LESS SATISFYING .......................................................
2
ABOUT AS SATISFYING ..............................................................
3
A LITTLE MORE SATISFYING .....................................................
4
MUCH MORE SATISFYING ..........................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ......................................................................................
-9
(ASK OF EVER E-CIGARETTE USERS WHO CURRENTLY SMOKE CIGARETTES)
EC13. Overall, how expensive do you think using electronic cigarettes or any other vaping device is compared to
smoking ordinary cigarettes? Would you say that using electronic cigarettes is much less expensive than
smoking ordinary cigarettes; a little less expensive than smoking ordinary cigarettes; about as expensive
as smoking ordinary cigarettes; a little more expensive than smoking ordinary cigarettes; or much more
expensive than smoking ordinary cigarettes?
MUCH LESS EXPENSIVE ............................................................
1
A LITTLE LESS EXPENSIVE ........................................................
2
ABOUT AS EXPENSIVE ...............................................................
3
A LITTLE MORE EXPENSIVE ......................................................
4
MUCH MORE EXPENSIVE ...........................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ......................................................................................
-9
Global Adult Tobacco Survey (GATS) 49 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Section C. Smokeless Tobacco
C15. When you quit using smokeless tobacco, which of the following reasons led you to think about quitting?
YES
NO
DON’T
KNOW
REFUSED
a. Concern for your personal health? ........................................ 1 ..... 2 .......... -7 ........... -9
c. That society disapproves of using smokeless tobacco? .......
1 ..... 2 .......... -7 ........... -9
d. The price of smokeless tobacco products? ...........................
1 ..... 2 .......... -7 ........... -9
e. Smokeless tobacco use is/was not allowed in your home? ..
1 ..... 2 .......... -7 ........... -9
f. Smokeless tobacco restrictions at work or public places? ....
1 ..... 2 .......... -7 ........... -9
g. Wanting to set a good example for children? ........................
1 ..... 2 .......... -7 ........... -9
h. Close friends and family disapprove(d) of your using
smokeless tobacco? .............................................................
1 ..... 2 .......... -7 ........... -9
Section D1. Cessation Tobacco Smoking
D03. During the past 12 months, did you use any of the following to try to stop smoking tobacco?
xx. Switching to smokeless tobacco?
D03x1. During the past 12 months, did any of the following reasons lead you to think about quitting smoking?
YES
NO
DON’T
KNOW
REFUSED
a. Concern for your personal health? ........................................ 1 ..... 2 .......... -7 ........... -9
b. Concern about the health effects of your tobacco
smoke on non-smokers? ......................................................
1 ..... 2 .......... -7 ........... -9
c. That society disapproves of smoking? ..................................
1 ..... 2 .......... -7 ........... -9
d. The price of smoking tobacco products? ...............................
1 ..... 2 .......... -7 ........... -9
e. Smoking is/was not allowed in your home? ...........................
1 ..... 2 .......... -7 ........... -9
f. Indoor smoking restrictions at work or public places? ...........
1 ..... 2 .......... -7 ........... -9
g. Wanting to set a good example for children? ........................
1 ..... 2 .......... -7 ........... -9
h. Close friends and family disapprove(d) of your smoking? .....
1 ..... 2 .......... -7 ........... -9
D08a. How much do you want to quit smoking? Would you say not at all, a little, somewhat, or a lot?
NOT AT ALL ................... 1
A LITTLE .........................
2
SOMEWHAT ...................
3
A LOT .............................
4
DON’T KNOW ................. -7
REFUSED ....................... -9
Global Adult Tobacco Survey (GATS) 50 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
D08b. How easy or hard would it be for you to quit smoking if you wanted to? Would you say very easy,
somewhat easy, neither easy nor hard, somewhat hard, or very hard?
VERY EASY ..............................
1
SOMEWHAT EASY ...................
2
NEITHER EASY NOR HARD ....
3
SOMEWHAT HARD ..................
4
VERY HARD .............................. 5
DON’T KNOW ............................ -7
REFUSED .................................. -9
D08c. How worried are you that smoking will damage your health in the future? Would you say not at all worried,
a little worried, moderately worried, or very worried?
NOT AT ALL WORRIED ............
1
A LITTLE WORRIED .................
2
MODERATELY WORRIED .......
3
VERY WORRIED .......................
4
DON’T KNOW ............................ -7
REFUSED .................................. -9
Section D2. Cessation Smokeless Tobacco
D11x1. During the past 12 months, did any of the following reasons lead you to think about quitting using
smokeless tobacco?
YES
NO
DON’T
KNOW
REFUSED
a. Concern for your personal health? ........................................ 1 ..... 2 .......... -7 ........... -9
c. That society disapproves of using smokeless tobacco? .......
1 ..... 2 .......... -7 ........... -9
d. The price of smokeless tobacco products? ...........................
1 ..... 2 .......... -7 ........... -9
e. Smokeless tobacco use is/was not allowed in your home? ..
1 ..... 2 .......... -7 ........... -9
f. Smokeless tobacco restrictions at work or public places? ....
1 ..... 2 .......... -7 ........... -9
g. Wanting to set a good example for children? ........................
1 ..... 2 .......... -7 ........... -9
h. Close friends and family disapprove(d) of your using
smokeless tobacco? .............................................................
1 ..... 2 .......... -7 ........... -9
D16a. How much do you want to quit using smokeless tobacco? Would you say not at all, a little, somewhat, or
a lot?
NOT AT ALL ................... 1
A LITTLE .........................
2
SOMEWHAT ...................
3
A LOT .............................
4
DON’T KNOW ................. -7
REFUSED ....................... -9
Global Adult Tobacco Survey (GATS) 51 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
D16b. How easy or hard would it be for you to quit using smokeless tobacco if you wanted to? Would you say
very easy, somewhat easy, neither easy nor hard, somewhat hard, or very hard?
VERY EASY ..............................
1
SOMEWHAT EASY ...................
2
NEITHER EASY NOR HARD ....
3
SOMEWHAT HARD ..................
4
VERY HARD .............................. 5
DON’T KNOW ............................ -7
REFUSED .................................. -9
D16c. How worried are you that using smokeless tobacco will damage your health in the future? Would you say
not at all worried, a little worried, moderately worried, or very worried?
NOT AT ALL WORRIED ............
1
A LITTLE WORRIED .................
2
MODERATELY WORRIED .......
3
VERY WORRIED .......................
4
DON’T KNOW ............................ -7
REFUSED .................................. -9
Section E. Secondhand Smoke
E08a. [ONLY ADMINISTERED IF E08 = YES]
How often does anyone smoke in indoor areas where you work? Would you say daily, weekly, monthly, or
less than monthly?
DAILY ..................................
1
WEEKLY ..............................
2
MONTHLY ...........................
3
LESS THAN MONTHLY ......
4
DON’T KNOW ...................... -7
REFUSED ............................ -9
E15a. During the past 30 days, did you visit any cafes, coffee shops, or tea houses?
YES .........................
1
NO ..........................
2 SKIP OVER E16a
DON’T KNOW .........
-7 SKIP OVER E16a
REFUSED ...............
-9 SKIP OVER E16a
E16a. Did anyone smoke inside of any cafes, coffee shops, or tea houses that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 52 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
E20a. [ADMINISTERED IF E19 = YES]
Did anyone smoke on the grounds of any universities that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E22a. [ADMINISTERED IF E21 = YES]
Did anyone smoke on the grounds of any schools that you visited in the past 30 days?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
E24. Based on what you know or believe, does breathing other people's smoke cause any of the following?
YES
NO
DON’T
KNOW
REFUSED
a. Heart disease in adults? .................. 1 ....... 2 ........... -7 ............ -9
b. Lung illnesses in children?...............
1 ....... 2 ........... -7 ............ -9
c. Lung cancer in adults? ..................... 1 ....... 2 ........... -7 ............ -9
E25. For each of the following public places, please tell me if you think smoking should or should not be
allowed in indoor areas:
[or]
Do you support the law that prohibits smoking in indoor areas at the following public places:
SHOULD BE
ALLOWED
SHOULD NOT
BE ALLOWED
DON’T
KNOW
REFUSED
YES NO
DON’T
KNOW
REFUSED
a. Hospitals? ....................................... 1 ................. 2 ................ -7 ............... -9
b. Workplaces? ...................................
1 ................. 2 ................ -7 ............... -9
c. Restaurants? ..................................
1 ................. 2 ................ -7 ............... -9
d. Bars? ...............................................
1 ................. 2 ................ -7 ............... -9
e. Public transportation vehicles? .......
1 ................. 2 ................ -7 ............... -9
f. Schools? .........................................
1 ................. 2 ................ -7 ............... -9
g. Universities? ...................................
1 ................. 2 ................ -7 ............... -9
h. Places of worship? ..........................
1 ................. 2 ................ -7 ............... -9
Global Adult Tobacco Survey (GATS) 53 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Section F. Economics
F03b. Do the cigarettes in the {FILL: NAME OF BRAND IN F03} brand you last purchased have a capsule in the
filter that releases a flavor when it is crushed?”
YES ....................
1
NO .....................
2
DON’T KNOW ....
-7
REFUSED .......... -9
F03b1. [IF F03b=1:] What flavor was in the capsules of the last pack of {FILL: NAME OF BRAND IN F03} you
purchased?
[RESPONSE CATEGORIES = LIST OF AVAILABLE FLAVORS]
F05. Were these cigarettes filtered or non-filtered?
FILTERED ......................
1
NON-FILTERED .............
2
REFUSED .......................
-9
F06. Were these cigarettes labeled as light, mild, or low tar?
[ADJUST CATEGORIES FOR SPECIFIC COUNTRY]
LIGHT .............................
1
MILD ...............................
2
LOW TAR .......................
3
NONE OF THE ABOVE ..
4
DON’T KNOW ................. -7
REFUSED ....................... -9
F07. In the last 6 months, has there been a time when the money you spent on cigarettes resulted in not
having enough money for household essentials such as food?
YES .................... 1
NO .....................
2
DON’T KNOW ....
-7
REFUSED .......... -9
Global Adult Tobacco Survey (GATS) 54 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Section G. Media
G05a. In the last 30 days, have you noticed any music, theatre, art, or fashion events that are associated with
cigarette brands or cigarette companies?
YES ....................
1
NO .....................
2
DON’T KNOW ....
-7
REFUSED .......... -9
G205a. In the last 30 days, have you noticed any music, theatre, art, or fashion events that are associated with
any tobacco product brand or company (smoked and/or smokeless)?
YES ....................
1
NO .....................
2
DON’T KNOW ....
-7
REFUSED .......... -9
Section H. Knowledge, Attitudes & Perceptions
H02x1. [ONLY FOR CURRENT MANUFACTURED CIGARETTE SMOKERS:] Based on your experience of
smoking, do you think that your current brand might be a little less harmful, is no different, or might be a
little more harmful, compared to other cigarettes?
A LITTLE LESS HARMFUL .......
1
NO DIFFERENT ........................
2
A LITTLE MORE HARMFUL ..... 3
DON’T KNOW ............................
-7
REFUSED ..................................
-9
H02x2. Do you think that some types of cigarettes could be less harmful than other types, or are all cigarettes
equally harmful?
COULD BE LESS HARMFUL ....
1
ALL EQUALLY HARMFUL ........
2
DON’T KNOW ............................ -7
REFUSED ..................................
-9
H02x3. Do you believe cigarettes are addictive?
[H02x3 CAN BE REPEATED FOR OTHER RELEVANT PRODUCTS SUCH AS BIDIS, SMOKELESS, ETC.]
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 55 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
H02x4. As far as you know, does your religion discourage smoking?
YES ..................
1
NO ...................
2 SKIP OVER H02x5
DON’T KNOW ..
-7
REFUSED ........ -9
H02x5. What is the ruling on cigarette smoking in Islam?
[DO NOT READ CATEGORIES]
SMOKING IS STRICTLY FORBIDDEN/SINFUL (HARAM) .... 1
SMOKING IS DISCOURAGED (MAKRUH) ............................
2
OTHER RULING ......................................................................
3 H02x5a. [SPECIFY]:___________
THERE ISN’T ANY RULING ON CIGARETTE SMOKING .....
4
DON’T KNOW ..........................................................................
-7
REFUSED ................................................................................ -9
H02x6. Based on what you know or believe, does smoking waterpipe with tobacco cause serious illness?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
H02x7. Compared to smoking cigarettes, do you think smoking waterpipe with tobacco is less harmful, no
different, or more harmful?
LESS HARMFUL THAN CIGARETTES .....
1
NO DIFFERENT .........................................
2
MORE HARMFUL THAN CIGARETTES ...
3
DON’T KNOW .............................................
-7
REFUSED ................................................... -9
H02x8. [ONLY ADMINISTERED IF EC1 = YES]
Compared to smoking ordinary cigarettes, would you say that using electronic cigarettes or any other
vaping device is much less harmful than smoking ordinary cigarettes; a little less harmful than smoking
ordinary cigarettes; about as harmful as smoking ordinary cigarettes; a little more harmful than smoking
ordinary cigarettes; or more harmful than smoking ordinary cigarettes?
MUCH LESS HARMFUL ...............................................................
1
A LITTLE LESS HARMFUL ...........................................................
2
ABOUT AS HARMFUL ..................................................................
3
A LITTLE MORE HARMFUL .........................................................
4
MUCH MORE HARMFUL ..............................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ......................................................................................
-9
Global Adult Tobacco Survey (GATS) 56 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
H02x9. [ONLY ADMINISTERED IF HTP1 = YES]
Compared to smoking ordinary cigarettes, would you say that using heated tobacco products is much
less harmful than smoking ordinary cigarettes; a little less harmful than smoking ordinary cigarettes; about
as harmful as smoking ordinary cigarettes; a little more harmful than smoking ordinary cigarettes; or much
more harmful than smoking ordinary cigarettes?
MUCH LESS HARMFUL ...............................................................
1
A LITTLE LESS HARMFUL ...........................................................
2
ABOUT AS HARMFUL ..................................................................
3
A LITTLE MORE HARMFUL .........................................................
4
MUCH MORE HARMFUL ..............................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ......................................................................................
-9
H04. Would you favor or oppose a law that would prohibit smoking in all indoor workplaces and public places,
such as restaurants and [FILL APPROPRIATE TERM FOR COUNTRY SUCH AS “bars” OR “coffee
houses”]?
FAVOR ............ 1
OPPOSE ..........
2
DON’T KNOW ..
-7
REFUSED ........ -9
[or]
Do you support or oppose the law that prohibits smoking in indoor workplaces and public places, such as
restaurants and [FILL APPROPRIATE TERM FOR COUNTRY SUCH AS “bars” OR “coffee houses”]?
SUPPORT ....... 1
OPPOSE ..........
2
DON’T KNOW ..
-7
REFUSED ........ -9
H05. Would you favor or oppose increasing taxes on tobacco products?
FAVOR ............
1
OPPOSE ..........
2
DON’T KNOW ..
-7
REFUSED ........ -9
H06. Would you favor or oppose a law prohibiting all advertisements for tobacco products?
FAVOR ............
1
OPPOSE ..........
2
DON’T KNOW ..
-7
REFUSED ........ -9
Global Adult Tobacco Survey (GATS) 57 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
End Individual Questionnaire
I03. [INTERVIEWER: WAS THERE ANYONE ELSE BESIDES THE RESPONDENT PRESENT DURING THE
INTERVIEW?]
YES ..................
1
NO ...................
2
Global Adult Tobacco Survey (GATS) 58 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Optional Section WP Waterpipe (Shisha/Nargile) Module
[WATERPIPE MODULE PLACED AFTER SECTION B]
[CORE MODULE QUESTIONS WP0A-WP7; ADDITIONAL OPTIONAL QUESTIONS WP8-WP16]
WPCOMP1
CURRENT WP TOB SMOKERS: IF (B01=1 OR 2) AND [(B06f>0 AND <=888) OR (B08f>0 AND <=888)], GO TO WP0a
ELSE, GO TO WP0b
WP0a. I would now like to ask you some questions about smoking waterpipe. You have previously indicated you
currently smoke waterpipe with tobacco. Do you also, at times, smoke waterpipe without tobacco?
YES ............................................ 1
NO .............................................
2
DON’T KNOW/NOT SURE ........
-7
REFUSED ..................................
-9
[GO TO WPCOMP2]
WP0b. I would now like to ask you a question about smoking waterpipe without tobacco. Do you currently smoke
waterpipe without tobacco on a daily basis, less than daily, or not at all?
DAILY ...........................
1
LESS THAN DAILY ......
2
NOT AT ALL .................
3
DON’T KNOW ...............
-7
REFUSED .....................
-9
[GO TO WPCOMP2]
Global Adult Tobacco Survey (GATS) 59 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
WPCOMP2
CURRENT DAILY WP TOB SMOKERS
CURRENT DAILY WP SMOKERS: IF B01=1 AND (B06f>0 AND <888), GO TO WP3
CURRENT LESS THAN DAILY WP TOB SMOKERS
CURRENT DAILY SMOKERS BUT LESS THAN DAILY WP: IF B01=1 AND B06f=888, GO TO WP1
CURRENT LESS THAN DAILY WP SMOKERS, DAILY SMOKERS IN THE PAST: IF B01=2 AND B02=1 AND (B08f>0 AND <=888), GO
TO WP1
CURRENT LESS THAN DAILY WP SMOKERS, NOT DAILY SMOKERS IN THE PAST: IF B01=2 AND B02=2 AND (B08f>0 AND
<=888), GO TO WP3
NOT CURRENT WP TOB SMOKERS
CURRENT DAILY SMOKERS, NOT CURRENTLY SMOKING WP: IF B01=1 AND B06f=0, GO TO WP2a
CURRENT LESS THAN DAILY SMOKERS BUT NOT WP, DAILY SMOKERS IN THE PAST: IF B01=2 AND B02=1 AND B08f=0, GO TO
WP2a
CURRENT LESS THAN DAILY SMOKERS BUT NOT WP, NOT DAILY SMOKERS IN THE PAST: IF B01=2 AND B02=2 AND B08f=0,
GO TO WP2b
CURRENT NON-SMOKERS, DAILY SMOKERS IN THE PAST: IF B01=3 AND B03=1, GO TO WP2a
CURRENT NON-SMOKERS, LESS THAN DAILY SMOKERS IN THE PAST: IF B01=3 AND B03=2, GO TO WP2b
NEVER SMOKERS: IF B01=3 AND B03=3, GO TO NEXT SECTION
ELSE, GO TO NEXT SECTION
WP1. I would now like to ask you some questions about smoking waterpipe with tobacco. Have you smoked a
waterpipe with tobacco daily in the past?
YES ...............................
1 GO TO WP3
NO ................................
2 GO TO WP3
DON’T KNOW ...............
-7 GO TO WP3
REFUSED .....................
-9 GO TO WP3
WP2a. I would now like to ask you some questions about smoking waterpipe with tobacco. In the past, have you
smoked a waterpipe with tobacco on a daily basis, less than daily basis, or not at all?
[IF RESPONDENT HAS DONE BOTH “DAILY” AND “LESS THAN DAILY” IN THE PAST, CHECK
“DAILY”]
DAILY ...........................
1 GO TO WP3
LESS THAN DAILY ......
2 GO TO WP3
NOT AT ALL .................
3 GO TO NEXT SECTION
DON’T KNOW ...............
-7 GO TO NEXT SECTION
REFUSED .....................
-9 GO TO NEXT SECTION
WP2b. I would now like to ask you some questions about smoking waterpipe with tobacco. In the past, have you
smoked a waterpipe with tobacco on a less than daily basis or not at all?
LESS THAN DAILY ...... 1 GO TO WP3
NOT AT ALL .................
2 GO TO NEXT SECTION
DON’T KNOW ...............
-7 GO TO NEXT SECTION
REFUSED .....................
-9 GO TO NEXT SECTION
Global Adult Tobacco Survey (GATS) 60 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
WP3. How old were you when you first tried smoking a waterpipe with tobacco, even once?
[IF WP3 = DK OR REF, ASK WP4. OTHERWISE SKIP TO WPCOMP3.]
WP4. How many years ago did you first try smoking a waterpipe with tobacco, even once?
WPCOMP3
CURRENT WP TOB SMOKERS: IF (B01=1 OR 2) AND [(B06f>0 AND <=888) OR (B08f>0 AND <=888)], GO TO WP5a
ELSE, GO TO NEXT SECTION
WP5a. The last time you smoked waterpipe with tobacco, how long did you participate in the waterpipe smoking
session?
[ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
HOURS .........................
1
MINUTES ......................
2
DON’T KNOW ...............
-7 SKIP TO WP6
REFUSED .....................
-9 SKIP TO WP6
WP5b. [ENTER NUMBER OF (HOURS/MINUTES)]
[NO DK/REF]
WP6. The last time you smoked waterpipe with tobacco, how many other people did you share the same pipe
with during the session?
WP7. The last time you smoked a waterpipe with tobacco, where did you smoke it?
HOME ...........................
1
SHISHA BAR ................
2
OTHER BAR/CLUB ......
3
CAFE/RESTAURANT ...
4
OTHER .........................
5 WP7a. Specify other place: _______________________________
DON’T KNOW ...............
-7
REFUSED .....................
-9
Global Adult Tobacco Survey (GATS) 61 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
[WP8 WP16 ARE ADDITIONAL OPTIONAL ITEMS]
WP8. The last time you smoked a waterpipe with tobacco, did you smoke it with flavored tobacco, unflavored
tobacco, or both?
FLAVORED ............ 1
UNFLAVORED ....... 2
BOTH ...................... 3
DON’T KNOW ......... -7
REFUSED ............... -9
WP9. How soon after you finish smoking waterpipe with tobacco do you usually start to feel a strong desire,
which is hard to ignore, to use waterpipe with tobacco or any other form of tobacco? Would you say within
60 minutes; after 1 to 3 hours; more than 3 hours but less than one full day; 1 day or more; or never?
WITHIN 60 MINUTES ....................................................................
1
AFTER 1 TO 3 HOURS .................................................................
2
MORE THAN 3 HOURS BUT LESS THAN ONE FULL DAY .......
3
1 DAY OR MORE ..........................................................................
4
NEVER ..........................................................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ...................................................................................... -9
WP10. During the past 12 months, have you tried to quit smoking waterpipe with tobacco?
YES ..................
1
NO ...................
2 SKIP TO WP12
REFUSED ........
-9 SKIP TO WP12
WP11a. Thinking about the last time you tried to quit smoking waterpipe with tobacco, how long did you stop?
[ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
MONTHS ..........................................
1
WEEKS .............................................
2
DAYS ................................................
3
LESS THAN 1 DAY (24 HOURS) .....
4 SKIP TO WP12
DON’T KNOW ...................................
-7 SKIP TO WP12
REFUSED ......................................... -9 SKIP TO WP12
WP11b. [ENTER NUMBER OF (MONTHS/WEEKS/DAYS)]
[NO DK/REF]
Global Adult Tobacco Survey (GATS) 62 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
WP12. Which of the following best describes your thinking about quitting smoking waterpipe with tobacco? I am
planning to quit within the next month, I am thinking about quitting within the next 12 months, I will quit
someday but not within the next 12 months, or I am not interested in quitting?
QUIT WITHIN THE NEXT MONTH ..........................
1
THINKING WITHIN THE NEXT 12 MONTHS .......... 2
QUIT SOMEDAY, BUT NOT NEXT 12 MONTHS. ... 3
NOT INTERESTED IN QUITTING ...........................
4
DON’T KNOW ...........................................................
-7
REFUSED ................................................................. -9
WP13. In the last 30 days, did you notice any health warnings on packages of waterpipe tobacco or charcoal, or
on the waterpipe instrument?
YES .............................................................................
1
NO ..............................................................................
2 SKIP TO WP15
DID NOT SEE ANY PACKAGES/INSTRUMENTS ....
3 SKIP TO WP15
REFUSED ...................................................................
-9 SKIP TO WP15
WP14. In the last 30 days, have these health warnings led you to think about quitting smoking waterpipe with
tobacco?
YES .........................
1
NO ..........................
2
DON’T KNOW .........
-7
REFUSED ............... -9
Global Adult Tobacco Survey (GATS) 63 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Optional Section HTP Heated Tobacco Products
[HTP MODULE PLACED AFTER SECTION EC]
[CORE MODULE QUESTIONS HTP1-HTP6]
HTP1. [MODIFY BASED ON COUNTRY SITUATION:] Now I want to ask you about heated tobacco products.
These are products that heat tobacco sticks or capsules to produce vapor or aerosol. Examples of these
products include [NAME LEADING BRANDS].
Prior to today, have you ever heard of heated tobacco products?
YES ...............................
1
NO ................................
2 SKIP TO NEXT SECTION
REFUSED .....................
-9 SKIP TO NEXT SECTION
HTP2. Do you currently use heated tobacco products on a daily basis, less than daily, or not at all?
DAILY ...........................
1 SKIP TO HTP5a
LESS THAN DAILY ......
2 SKIP TO HTP4
NOT AT ALL .................
3
DON’T KNOW ...............
-7 SKIP TO NEXT SECTION
REFUSED ..................... -9 SKIP TO NEXT SECTION
HTP3. Have you ever, even once, used a heated tobacco product?
YES .........................
1
NO ..........................
2 SKIP TO NEXT SECTION
DON’T KNOW .........
-7 SKIP TO NEXT SECTION
REFUSED ............... -9 SKIP TO NEXT SECTION
HTP4. Have you ever used heated tobacco products daily in the past?
YES ......................... 1 GO TO HTP5b
NO ..........................
2 SKIP TO HTPCOMP1
DON’T KNOW .........
-7 SKIP TO HTPCOMP1
REFUSED ............... -9 SKIP TO HTPCOMP1
Global Adult Tobacco Survey (GATS) 64 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
HTP5a. {IF HTP2=1: For how long have you been using heated tobacco products on a daily basis?}
HTP5b. {IF HTP4=1: For how long did you use heated tobacco products on a daily basis?}
Would you say less than 1 month, 1 to 3 months, 4 to 11 months, 1 to 2 years, or more than 2 years?
LESS THAN 1 MONTH .............
1
1 TO 3 MONTHS .......................
2
4 TO 11 MONTHS .....................
3
1 TO 2 YEARS ...........................
4
MORE THAN 2 YEARS .............
5
DON’T KNOW ............................
-7
REFUSED ..................................
-9
HTPCOMP1
IF HTP2 = 1 OR 2, GO TO HTP6
ELSE SKIP TO NEXT SECTION (TBD BASED ON OTHER QUESTIONS)
HTP6. Which of the following are reasons that you use a heated tobacco product?
YES NO REFUSED
a. [IF B01=1 OR 2:] To quit smoking tobacco? ................................................ 1 ...... 2 ........... -9
b. [IF B03=1 OR 2:] To avoid going back to smoking tobacco? ......................
1 ...... 2 ........... -9
c. Because I enjoy it? .......................................................................................
1 ...... 2 ........... -9
d. Because I'm addicted to it? ...........................................................................
1 ..... 2 ........ -9
e. I can use it at times when or in places where tobacco smoking is
not allowed? .................................................................................................
1 ..... 2 ........ -9
f. It is less harmful than smoking tobacco? ......................................................
1 ..... 2 ........ -9
g. It comes in flavors I like? ..............................................................................
1 ...... 2 ........... -9
h. A friend or family member uses it? ...............................................................
1 ...... 2 ........... -9
Global Adult Tobacco Survey (GATS) 65 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
[ADDITIONAL OPTIONAL QUESTIONS]
(ASK OF ALL WHO’VE EVER TRIED A HTP)
HTP5x1a. How old were you when you first tried using a heated tobacco product, even once?
[IF HTP5x1a = DK OR REF, ASK HTP5x1b. OTHERWISE SKIP TO NEXT QUESTION.]
HTP5x1b. How many years ago did you first try using a heated tobacco product, even once?
(ASK OF FORMER DAILY USERS)
HTP5x2a. How long has it been since you stopped using heated tobacco products?
[ONLY INTERESTED IN WHEN RESPONDENT STOPPED USING REGULARLY – DO NOT
INCLUDE RARE INSTANCES OF USE
ENTER UNIT ON THIS SCREEN AND NUMBER ON NEXT SCREEN]
YEARS ..........................
1
MONTHS .......................
2
WEEKS .........................
3
DAYS.............................
4
LESS THAN 1 DAY .......
5 SKIP TO NEXT QUESTION
DON’T KNOW ...............
-7 SKIP TO NEXT QUESTION
REFUSED ..................... -9 SKIP TO NEXT QUESTION
HTP5x2b. [ENTER NUMBER OF (YEARS/MONTHS/WEEKS/DAYS)]
[NO DK/REF]
Global Adult Tobacco Survey (GATS) 66 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
(ASK OF CURRENT USERS)
HTP7. What brand of heated tobacco products do you currently use?
[IF MORE THAN ONE TYPE IS USED, SELECT BRAND USED MOST RECENTLY]
[RESPONSE CATEGORIES WILL BE DEVELOPED BY COUNTRY]
IQOS ..........................................
1
GLO ...........................................
2
PLOOM TECH ...........................
3
OTHER ......................................
4 HTP7a. [SPECIFY]:____________________________
DON’T KNOW ............................
-7
REFUSED ..................................
-9
(ASK OF CURRENT USERS)
HTP8. What is the primary flavor of the heated tobacco product you currently use?
[IF MORE THAN ONE FLAVOR IS USED, SELECT FLAVOR USED MOST RECENTLY]
[RESPONSE CATEGORIES WILL BE DEVELOPED BY COUNTRY]
REGULAR TOBACCO ..............
1
MENTHOL OR MINT .................
2
SOME OTHER FLAVOR ...........
3 HTP8.a. [SPECIFY]:____________________________
DON’T KNOW ............................
-7
REFUSED ..................................
-9
(ASK OF CURRENT USERS)
HTP9. In the past 30 days, how much money did you spend on heated tobacco products?
[INCLUDE PURCHASE OF DEVICES AND ALL CONSUMABLES INCLUDING HEAT STICKS]
[RESPONSE CATEGORIES WILL BE DEVELOPED BY COUNTRY]
LESS THAN X ...........................
1
X TO X .......................................
2
X TO X .......................................
3
X TO X .......................................
4
MORE THAN X ..........................
5
DON’T KNOW ............................
-7
REFUSED ..................................
-9
Global Adult Tobacco Survey (GATS) 67 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
(ASK OF EVER HTP USERS WHO CURRENTLY SMOKE CIGARETTES)
HTP10. How satisfying is using heated tobacco products compared to smoking ordinary cigarettes? Would you
say that using heated tobacco products is much less satisfying than smoking ordinary cigarettes; a little
less satisfying than smoking ordinary cigarettes; about as satisfying as smoking ordinary cigarettes; a little
more satisfying than smoking ordinary cigarettes; or much more satisfying than smoking ordinary
cigarettes?
MUCH LESS SATISFYING ...........................................................
1
A LITTLE LESS SATISFYING .......................................................
2
ABOUT AS SATISFYING ..............................................................
3
A LITTLE MORE SATISFYING .....................................................
4
MUCH MORE SATISFYING ..........................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ......................................................................................
-9
(ASK OF EVER HTP USERS WHO CURRENTLY SMOKE CIGARETTES)
HTP11. Overall, how expensive do you think using heated tobacco products is compared to smoking ordinary
cigarettes? Would you say that using heated tobacco products is much less expensive than smoking
ordinary cigarettes; a little less expensive than smoking ordinary cigarettes; about as expensive as
smoking ordinary cigarettes; a little more expensive than smoking ordinary cigarettes; or much more
expensive than smoking ordinary cigarettes?
MUCH LESS EXPENSIVE ............................................................
1
A LITTLE LESS EXPENSIVE ........................................................
2
ABOUT AS EXPENSIVE ...............................................................
3
A LITTLE MORE EXPENSIVE ......................................................
4
MUCH MORE EXPENSIVE ...........................................................
5
DON’T KNOW ................................................................................
-7
REFUSED ......................................................................................
-9
Global Adult Tobacco Survey (GATS) 68 Core Questionnaire with Optional Questions
September 2020 List of Optional Questions
Optional Section FA. Economics
SECTION F (ECONOMICS – MANUFACTURED CIGARETTES) CAN BE ADMINISTERED FOR OTHER
TYPES OF PRODUCTS SUCH AS BIDIS, SMOKELESS TOBACCO.
Global Adult Tobacco Survey (GATS)