Please answer these questions to the best of your ability. All responses collected will be anonymous and confidential. 

* 1. Does anyone in your household currently smoke cigarettes, or not?

* 2. In the past 30 days, have you been in a car with someone that was smoking a cigarette?

* 3. In the past 30 days, have you been in the same room with someone who was smoking a cigarette?

* 4. Have you ever smoked a cigarette, even one or two puffs?

* 5. Do you currently smoke cigarettes?

* 6. If you answered "Yes" on Question 5, at what age did you have your first cigarette?

* 7. If you are CURRENTLY a smoker, how many cigarettes do you smoke in a typical day? 

* 8. Have you ever used any of the following tobacco products? (Please select all that apply.)

* 9. What grade are you in?