We are conducting an online Discussion group as part of a study about youth health and lifestyle in Indiana.

I’m going to ask you some questions about yourself, like your age and where you live.

Everything that we discuss today will be private and there are no right or wrong answers. If approved you will be scheduled for a 90 minute online focus group. The compensation is 100 dollars. 

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* 1. Please let us know how we may get in touch with you

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* 2. Who is the person filling out this survey?

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* 3. Do you currently live in Indiana

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* 4. What is the 5-digit zip code where you currently live?

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* 5. Which of the following best describes the area you live in?

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* 6. How old are you

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* 7. Please tell us your exact age

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* 8. How do you describe yourself?

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* 9. Do you consider yourself to be?

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* 10. What race or ethnicity do you consider yourself to be? You can choose more than one response, if applicable

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* 11. What level of schooling have you completed?

The next few sets of questions ask about vapes or e-cigarettes. You may know them as vape-pens, disposables, hookah-pens, e-hookahs, e-cigars, e-pipes, personal vaporizers or mods. Some brand examples include JUUL, Suorin, SMOK, Happy Sticks, Puff Bar, NJOY, blu,
VUSE, VGOD STIG, Logic, Vapin Plus, eGo, and Halo.


The following questions when referencing “vapes” or “vaping” DO NOT include vapes with
marijuana, marijuana concentrations, marijuana waxes, THC, CBD, or hash oils.

As a reminder, your answers will be completely private and will not be shared with your parents/guardians or anyone outside of the study team.

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* 12. During your life how many times have you used vape or e-cigarettes? 

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* 13. If one of your best friends were to offer you a vape or e-cigarette, would you use it?

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* 14. Do you think that you will use a vape or e-cigarette in the next year?

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* 15. Do you think that you will use a vape or e-cigarette soon

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* 16. How long has it been since you last used a vape or e-cigarette

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* 17. During the past 30 days, on how many days did you use a vape or e-cigarette?

The next set of questions asks about marijuana use. Marijuana is also called cannabis, pot or weed. For these questions, do not count CBD-only or hemp products, which come from the
same plant as marijuana, but do not cause a high when used alone.

Your information will be kept private and will not be shared with your parents/guardians or police authorities.

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* 18. During your life, how many times have you used marijuana? 

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* 19. Have you ever used marijuana in a vape?

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* 20. If one of your best friends were to offer you marijuana in a vape would you try it? 

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* 21. Do you think that you will vape marijuana in the next year? 

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* 22. Do you think you will vape marijuana in the next year? 

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* 23. Do you think that you will vape marijuana in the next year?

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* 24. Do you think that you will vape marijuana soon? 

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* 25. During the PAST 30 DAYS, how did you use marijuana? You can choose more than one
response, if applicable.

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* 26. In the past 30 days, how many days did you vape marijuana? 

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* 27. How did you hear about this focus group

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* 28. Did someone refer you to this study

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* 29. Please share a link to your social media profile (facebook, instagram...)

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