Question Verbatim Question Response categories and comments Number Never had intercourse 1=box checked 17 With how many different number of intercourse partners, partners have you ever had lifetime sexual intercourse? Range: 0-999 # of partners 18 During the past year, with how number of intercourse partners, past many different partners have year you ever had sexual Range: 0-999 intercourse? # of partners 19a Have you smoked at least 100 1=yes cigarettes in your entire life? 2=no 19b How old were you when you Range: 0-99 began to smoke cigarettes fairly regularly? age: Do you smoke cigarettes now? 20c 1=yes 2=no 20d If yes, on average, about how Range: 0-99 many cigarettes a day do you smoke? # cigarettes: 21a If you used to smoke cigarettes Range:00-99 but smoke now, about don’t how many cigarettes a day did you smoke? # cigarettes: 21b How old were you when you Range:00-99 quit? Age 22a During your first 18 years of life 1=yes did your father smoke? 2=no 22b During your first 18 years of life 1=yes did your mother smoke? 2=no
Question Number Verbatim Question Response categories and comments Never had intercourse 1=box checked 17 With how many different partners have you ever had sexual intercourse? # of partners number of intercourse partners, lifetime Range: 0-999 18 During the past year, with how many different partners have you ever had sexual intercourse? # of partners number of intercourse partners, past year Range: 0-999 19a Have you smoked at least 100 cigarettes in your entire life? 1=yes 2=no 19b How old were you when you began to smoke cigarettes fairly regularly? age: Range: 0-99 20c Do you smoke cigarettes now? 1=yes 2=no 20d If yes, on average, about how many cigarettes a day do you smoke? # cigarettes: Range: 0-99 21a If you used to smoke cigarettes but don’t smoke now, about how many cigarettes a day did you smoke? # cigarettes: Range:00-99 21b How old were you when you quit? Age Range:00-99 22a During your first 18 years of life did your father smoke? 1=yes 2=no 22b During your first 18 years of life did your mother smoke? 1=yes 2=no