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* 1. Lung cancer is the number one cancer killer of men and women in America and in Maine.

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* 2. The average five year survival rates for lung cancer patients is 18%.

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* 3. Lung cancer rates in Maine are _______.

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* 4. Cigarette smoking and tobacco use (including e-cigarettes) is the number one preventable cause of lung cancer.

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* 5. Nicotine is derived from tobacco.

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* 6. Do you currently smoke cigarettes, or not?

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* 7. If you don't smoke cigarettes, do you use other tobacco products (pipes, cigars, chewing tobacco, e-cigarettes)?

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* 8. In the past 30 days, which of the following tobacco products have you used? (Please select all that apply.)

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* 9. If you smoke, about how many cigarettes do you smoke in a typical day?

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* 10. How harmful do you feel e-cigarettes are?

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* 11. What is in the vapor of an e-cigarette? (Check all that apply)

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* 12. The vapor of e-cigarettes is _____ to bystanders.

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* 13. Tobacco or nicotine use causes which problems? (Check all that apply)

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* 14. E-cigarettes are less harmful than conventional cigarettes.

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* 15. I am likely to smoke or use an e-cigarette in the next 30 days.

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* 16. After attending the program I would like to quit smoking, vaping, or using tobacco.

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* 17. If you smoke or use tobacco, did you try to quit after attending the program?

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* 18. After attending the program, Did you try any of the following to help you quit tobacco for good? (Check all that apply)

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* 19. If you quit tobacco after attending the program, how long have you remained quit (not smoked a cigarette, vaped, or used other tobacco products)?

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* 20. If you quit tobacco after attending the program, how confident are you that you can stay quit? (With 0 being not at all confident, and 10 being extremely confident) 

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* 21. Radon is the second leading cause of lung cancer.

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* 22. Radon levels in Maine are ____.

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* 23. One in three homes in Maine have high levels of indoor radon gas.

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* 24. How important is it to test your home for radon?

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* 25. After attending the program I plan to have my home tested for radon gas.

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* 26. If I smoke or use tobacco and I am exposed to radon, my chances of getting lung cancer are ____ than those of non-smokers.

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* 27. I can prevent lung cancer by avoiding tobacco and radon gas.

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* 28. After participating in the program I understand the risk factors for lung cancer and ways to help prevent it from developing.

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