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Influence of Parents on Teen Smoking

This document contains a survey about cigarette use and the influences on that use. It is divided into two parts: Part I collects basic demographic information like age and sex. Part II provides 15 statements about reasons for cigarette use and asks participants to rate their level of agreement with each statement on a 5-point scale from Strongly Disagree to Strongly Agree. The statements address various social and personal influences on cigarette use like parents, friends, curiosity, and perceptions of coolness.

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sharmina suhaili
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3 views1 page

Influence of Parents on Teen Smoking

This document contains a survey about cigarette use and the influences on that use. It is divided into two parts: Part I collects basic demographic information like age and sex. Part II provides 15 statements about reasons for cigarette use and asks participants to rate their level of agreement with each statement on a 5-point scale from Strongly Disagree to Strongly Agree. The statements address various social and personal influences on cigarette use like parents, friends, curiosity, and perceptions of coolness.

Uploaded by

sharmina suhaili
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PART I

Name (Optional):
Age:
Sex: Male
Female
PART II.
Instruction: Read the following statement then put check (/) to the number that corresponds to
your answer.
STRON DISAG NEUT AGRE STRO
GLY REE RAL E NGLY
DISAG AGRE
REE (2) (3) (4) E
(1) (5)
1. I learned to use cigarette by the influence of
my parents.
2. I use cigarette because I see it to my parents.
3. I smoke cigarette because my parents are
using too.
4. I use cigarette because my parents allowed
me.
5. I’m using cigarette because my parents told
me to use.
6. I use cigarette because I thought it was cool.
7. I learned smoking cigarette by the influence of
my friends.
8. I smoke because I want to fit in the groups.
9. I smoke cigarette because I want to be
different from other teens.
10. I use cigarette because I want my friends to
like me.
11. I use cigarette because I was curious what the
feeling is.
12. I use cigarette to be cool.
13. I use cigarette because I think it’s good.
14. I use cigarette because I think it’s make me
feel relax.
15. I was learned to use cigarette because my
friends are using.

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