Vaping and E-Cigarettes Survey Hello,Thank you for taking a few minutes to tell us about your e-cigarette and vaping devices, e-liquids, and smoking history. We are collecting this information simply to gain a better understanding of how people are using vaping devices, and the possible benefits and risks. Any questions, please contact us at www.sepatobaccofree.org. Question Title * 1. Have you ever been a regular smoker or tobacco user; smoked more than 100 cigarettes in your life? Yes No Question Title * 2. Have you ever tried to quit tobacco using vaping or e-cigarettes? Yes No Question Title * 3. Have you ever successfully quit using tobacco (for at least 30 days) by vaping or using e-cigarettes instead? Yes No Question Title * 4. Have you used electronic systems (e.g. vaporizors, e-cigarettes) while also using traditional tobacco products such as cigarettes? Yes No Question Title * 5. Which of the following looks most like your device(s)? Other (please describe your describe/name your device) Question Title * 6. How enjoyable is vaping/using e-cigarettes compared to smoking traditional cigarettes? 0 (Not at all enjoyable, terrible substitute) 100 (Just as or even more enjoyable, excellent substitute) Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 7. Does your "e-cigarette", "e-juice", "vape juice", "e-liquid" contain nicotine? Yes No Unsure Question Title * 8. What level of nicotine do you typically use in your "e-liquid"? 6mg/0.6% 12mg/1.2% 18mg/1.8% 24mg/2.4% Unsure Other (please specify) Question Title * 9. Have you reduced the amount of nicotine in your device? Yes No Unsure Question Title * 10. What Propylene Glycol/Vegetable Glycerin (PG/VG) mix are you vaping with? 100% PG 75% PG/ 25% VG 50% PG / 50% VG 25% PG / 75% VG 100% VG Unsure Other (please specify) Question Title * 11. Have you ever added anything to thin out, or reduce the thickness of your e-juice? Yes No If yes, what? (e.g. water): Question Title * 12. If you used vaping to quit smoking traditional cigarettes, what flavor(s) of e-juice or e-cigarette did you use to help you quit? Question Title * 13. Does your vaping device have “temperature control” (you can set a maximum temperature)? Yes No Unsure If yes, what is your limit: Question Title * 14. What temperature do you prefer/typically aim for? Question Title * 15. Temperature in Fahrenheit or Celsius? Fahrenheit Celsius Question Title * 16. Do you use the same temperature all the time? Yes No Unsure If yes, why? Question Title * 17. Do you use “dripping” techniques (dropping e-liquid directly onto a hot coil)? Yes No Unsure Question Title * 18. What type of metal or metals is your coil made up of? Select all the apply. Nickel Nickel-Chromium Chromium-Nickel-Carbon Iron-Chomium-Aluminum Titanium Kanthal Stainless Steel Ceramic Unsure Other (please specify) Question Title * 19. What gauge are your coils? (if more than one, please separate them by commas) Type "unsure" if you don't know. Question Title * 20. What ohm are your coils? (if more than one, please separate them by commas) Type "unsure" if you don't know. Question Title * 21. What voltage of battery are you using? (if more than one, please separate them by commas) Type "unsure" if you don't know. Question Title * 22. On a scale of 0 (Very Dangerous) to 100 (Completely Safe), how safe do you think vaping/e-cigs are? 0 (Very Dangerous) 100 (Completely Safe) Clear i We adjusted the number you entered based on the slider’s scale. THANK YOU FOR COMPLETING OUR SURVEY! We truly appreciate your efforts to help us better understand e-cigs and vaping habits.Sincerely,Health Promotion CouncilFor more information or to contact us, please visit www.sepatobaccofree.org Done
