Illegal Tobacco Survey

Page 1 of 5

Your use of and attitude towards illegal tobacco

1. Do you live, work, study or are you registered with a GP in: (Select all that apply)
(Required)
2. What tobacco products do you use? (Select all that apply)
(Required)
3. How often do you use tobacco products in a usual day, if at all?
(Required)
4. In the past year, how often have you been offered illegal tobacco products to buy, if at all?
(Required)
5. In the past year, how often have you bought illegal tobacco products, if at all?
(Required)
6. Where did you buy your illegal tobacco products? (Select all that apply)
7. What did you buy? (Select all that apply)
8. How much did the tobacco cost?
9. Do you agree or disagree with the following opinion statements about illegal tobacco products:
(Required)
10. Have you ever tried to quit smoking?
(Required)
11. Do you know of any premises that:
(Required)
12. If yes, would you be willing to tell us: