Consumer Survey for Gentleman's Draw FDA Marketing Application

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* 1. What age group best describes you?

21-25

26-30

31-35

36-40

41-45

46-49

50-59

60-69

70+

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* 2. What is your exact age?

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* 3. What is the highest level of education you have completed?

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* 4. What is your annual household income?

Less than $20,000

$20,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or More

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* 5. Have you ever smoked cigarettes?

Yes

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* 6. If you smoked, how many packs did you smoke on a daily basis?

Less than 1 pack

1 pack per day

1.5 packs per day

2 packs per day

More than 2 packs a day

I never smoked

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* 7. How many years did you smoke cigarettes?

Less than 1 year

1-2 years

3-5 years

6-10 years

11+ years

I never smoked

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* 8. If you are a former smoker, have you ever tried FDA approved smoking cessation products in the past? If so, what kind? (choose all that apply)

Prescription Pharmaceuticals

Nicotine Gum

Nicotine Patches

Nicotine Lozenges

I never tried FDA approved method to help me quit

I was never a smoker

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* 9. Did you use vapor products to help quit or reduce your consumption of traditional tobacco products?

Yes

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* 10. Do you currently use electronic nicotine delivery systems (vape)?

Yes

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* 11. How long have you been using electronic nicotine delivery systems (vape)?

Less than 1 year

1-2 years

3-5 years

6-10 years

11+ years

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* 12. Which statement best describes the style of electronic nicotine delivery products you currently use?

Closed pre-filled pod style systems (liquid is already in device/pod)

Open refillable style system (you purchase bottles of e-liquid)

I do not use electronic nicotine delivery systems

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* 13. Which statement best describes you?

I don't smoke and I don't vape

I vape and never smoked

I smoke and do not vape

I vape and am a former smoker

I smoke and I vape (dual usage)

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* 14. If you currently use electronic nicotine products, what level of nicotine are you currently using?

0mg

1-5mg

6-11mg

12-18mg

19-24mg

25-36mg

37mg or higher

I do not use an electronic nicotine product

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* 15. What level of nicotine did you use when you first started vaping?

0mg

1-5mg

6-11mg

12-18mg

19-24mg

25-36mg

37mg or higher

I do not use an electronic nicotine product

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* 16. If you use electronic nicotine products what flavor(s) did you use when you first started vaping? (select all that apply)

Fruit Flavors

Candy Flavors

Dessert Flavors

Mint Flavors

Menthol Flavors

Tobacco Flavors

I've never used electronic nicotine products

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* 17. If you use electronic nicotine products what flavor(s) do you currently use? (select all that apply)

Fruit Flavors

Candy Flavors

Dessert Flavors

Mint Flavors

Menthol Flavors

Tobacco Flavors

I've never used electronic nicotine products

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* 18. If you use vapor products to replace your traditional tobacco consumption, which statement best describes the overall health impacts you have experienced by making the switch?

I feel the same

I feel worse than I did when I was smoking

I feel slightly better and have experienced some small improvements in my health

I feel better and have experienced improvements in my health

I feel much better and have experienced many health benefits from making the change

I quit smoking and vaping so I'm back to normal

I'm still smoking so I haven't experienced any change in how I feel

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* 19. What would you do if flavors were banned?

Only use legal products that are not banned

Quit vaping permanently and wouldn't go back to smoking

Quit vaping and go back to smoking

Purchase the banned flavored products illegally online or through black markets

Make my own flavored liquid products (DIY)

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* 20. If you are a former smoker, could you provide a brief story about your transition from smoking to vaping and how this technology has effected your life.