Introduction

You are being given a research survey that will take ~15 minutes. This survey is intended to gather subjective sensory and percepitory information about a selection of Cottonmouth products. These products contain nicotine, and addictive chemical, and participants must be 21 or older. Participants will be expected to answer multiple choice and short answer questions. All information in this survey is anonymized and de-identified, that is: no personally identifying information will be collected, stored, or distributed.

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* Which flavor are you using?

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* Have you used any nicotine products today?

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* If so, estimate how long ago you last used a nicotine product, in hours.

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* What type of nicotine product(s) did you use? Select all that apply.

Go ahead and open package and tell us what you think about it.

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* Size convenience of packaging

Too small/ uncomfortable to hold/use Just the right size to handle Too big/ unwieldy to hold/use
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Ease of opening the packaging

Inconvenient/ Difficult Moderate/ Not noticeably easy or difficult Convenient/ Easy
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Appearance of the packaging

Attractive Plain Unattractive
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Quality of the packaging (How does it feel?)

Cheap/ Weak Average/ Unremarkable Well made/ Strong
Clear
i We adjusted the number you entered based on the slider’s scale.
Instructions: 

Please set a timer for 5 minutes and a timer for 15 minutes, and start them when you begin to use the sample. 
Please do not eat or drink liquids while sample product is being used, as this may affect sensory experiences.

Your responses and opinions will be anonymous and resulting data de-identified. Please answer honestly to ensure final products can be optimized.

Remove the sample product from the packaging and place in your mouth somewhere between your gums and lips, wherever it feels most comfortable and least noticeable. Leave the product in place within your mouth until finishing the entire survey packet. Start the timers as soon as you place the product in your mouth.

After the 5 minute alarm has sounded, please continue with the survey. The following questions relate to the subjective flavor experience and physical sensations of the product you are testing.


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* Cool

Not very cool Moderately cool Very cool
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Coolness Opinion

Not cool enough Just cool enough Too cool
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Enjoyable

Unpleasant Unremarkable or boring Enjoyable
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Sweet

Not sweet Somewhat sweet Very sweet
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Earthy

Not earthy Somewhat earthy Very earthy
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Spicy

Not spicy Spicy Very spicy
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Citrus

No citrus flavor Some citrus flavor Strong citrus flavor
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Citrus Opinion

Not citrus enough Just enough citrus Too much citrus
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Artificial/ Chemical

Normal/ No chemical taste Some artificial/ chemical taste Strong artificial/ chemical taste
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Salty

Not salty Somewhat salty Brackish/ Very salty
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Salt Opinion

Not salty enough Just salty enough Too salty/ brackish
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Bitter

No bitterness Somewhat bitter Very bitter
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Chocolate

Not chocolatey Some chocolate flavor Very chocolatey
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Sour

Not sour Sour Very sour
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Fruity

No fruit flavor Moderately fruity Very fruity
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Fruitiness Opinion

Not fruity enough Just fruity enough Too fruity
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Warm

Not warm Warm Very warm
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Herbal

No herbal taste Some herbal taste Strong herbal taste
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Coffee

No coffee flavor Somewhat coffee flavored Strong coffee flavor
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Strength of Flavor

Weak Moderate Very strong
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Vanilla

No vanilla Some vanilla taste Strong vanilla taste
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Musty

No must Some must Very musty
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Minty

Not minty Minty Very minty
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Mint Opinion

Not minty enough Just minty enough Too minty
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Floral

No flowery taste Some floral taste Strong floral taste
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Hay

No hay flavor Some hay flavor Strong hay flavor
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Texture

Coarse Suede Smooth
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Solidness

Hard Firm Soft
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Consistency

Grainy Powdery Creamy
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Wetness

Wet Moist Dry
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Gumminess

Gummy Pasty Crumbly
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Mouthcoat

Oily Buttery Cleansing/ Astringent
Clear
i We adjusted the number you entered based on the slider’s scale.

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* What, if anything, did you like about the taste of this product?

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* What, if anything, did you dislike about the taste of this product?

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* What, if anything, did you like about the overall mouthfeel of this product?

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* What, if anything, did you dislike about the overall mouthfeel of this product?

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* Are there any other flavor notes or sensations that you perceive when using this product?

For the following statements of possible effects from using the sample product, please indicate the intensity of you experience for each.

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* I feel "high"

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel alert and awake.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel lightheaded.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel like I'm in a better mood.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel like I'm able to concentrate better now.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel calm and more relaxed.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel a craving for more nicotine already.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel irritable.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel anxious or tense.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I'm having trouble concentrating. 

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel restless.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel impatient.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel tired.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I feel depressed.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* I am craving sweets.

Disagree Completely Neither Agree nor Disagree Agree completely
Clear
i We adjusted the number you entered based on the slider’s scale.

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* Do you notice/feel any additional effects upon your mood after using this product? If yes, please describe them.

Please indicate the degree to which you are experiencing any of the following physiological responses. (None, Mild, Moderate, Severe)

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* Headache

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* Nausea

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* Clammy Skin

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* Dizziness

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* Burning throat

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* Tingling sensations

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* Sweatiness

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* Decreased appetite

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* Excessive salivation

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* Accelerated heartbeat

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* Dry mouth

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* Increased appetite

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* Drowsiness

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* Did you experience any OTHER notable physical sensations when you were using this product?

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