2016 California BRFSS Questionnaire
This survey assesses the prevalence of and trends in health-related behaviors in the California non-institutionalized population aged 18 years and older, including tobacco use. Beginning in 2008, California Tobacco Control Program included the California Adult Tobacco Survey in the California Behavioral Risk Factor Surveillance System survey as the “Tobacco Track.” Beginning in 2012, the Behavioral Risk Factor Surveillance System changed its survey methodology and also began asking questions about e-cigarettes.
2016 Online CATS Questionaire
This survey covers a broad range of tobacco-related questions, including smoking behaviors, patterns of use, attitudes, cessation, purchases, secondhand smoke exposure, media exposure, taxes, as well as a series of marijuana secondhand smoke exposure related questions. The questionnaire was designed to integrate the latest trends of tobacco use at both behavior and policy levels. Beginning in 2016, the California Tobacco Control Program initiated an online version of the California Adult Tobacco Survey. This survey applies a cross-sectional study design and results are weighted to California population characteristics.
2016 CSC Tobacco Questions
The California Smoker Cohort is a longitudinal survey designed to investigate factors that predict cigarette cessation behaviors among California residents. The California Smoker Cohort survey was administrated by the University of California, San Diego and conducted biennially beginning in 2011. The study was comprised of a baseline survey to establish a cohort of current and former smokers, and a follow-up survey to determine changes in smoking behaviors, including quit attempts, reduction in consumptions, and quitting behaviors since the initial contact. The baseline survey data was collected through the population-based California Health Interview Survey to identify as many current and former smokers as possible.
2016 California YTPS Survey Form
The Youth Tobacco Purchase Survey is an annual statewide survey required by the Federal Synar amendment and the California Stop Tobacco Access to Kids Enforcement Act. The Youth Tobacco Purchase Survey is a scientific, unannounced survey of a random sample of retail outlets that sell tobacco products statewide, from which an estimate of the overall state illegal sales rate to minors is calculated.
2013 HSHC Marketing Surveillance Training Manual
The Healthy Stores for a Healthy Community campaign is a statewide collaboration between tobacco use prevention; nutrition and obesity prevention; alcohol abuse prevention; and sexually transmitted disease prevention partners. The goal is to improve the health of Californians by creating change at the retail level that supports healthy living. This joint effort assesses the availability and marketing of tobacco products, food, condoms, and alcohol products. In 2013 and 2016, California local health departments and their partners conducted store observations using these instruments. Observational surveys were augmented with public intercept surveys and key informant interviews.
2014 CTAS Questionaire
The California Tobacco Advertising Survey is designed to assess retail availability, promotion and placement of tobacco products and marketing materials for tobacco products. In 2014, the survey was expanded to the availability and promotion of flavored tobacco products as well as electronic nicotine delivery systems.
2016 YEPS Protocol
The California Youth Electronic Smoking Device Purchase Survey was designed for use by local projects to assess the rate of sale of electronic smoking devices to underage persons. It provides guidance to local tobacco control projects regarding how to conduct undercover electronic smoking device purchase surveys performed by minor decoys under 18 years of age. However, this protocol is not intended for use with compliance checks that involve an enforcement component or that may result in presenting evidence in a civil administrative hearing or court of law.
SFH CA Screener Questionaire (2016)
The California Tobacco Control Program is working in partnership with Emory University to implement the Minimal Smoke-Free Homes Intervention. The Minimal Smoke-Free Homes Intervention involves identifying households in which smoking is permitted inside a home. The intervention consists of four components: three mailings of print materials and one coaching call, aimed at increasing household smoking bans and reducing secondhand smoke exposure. Below are links to the evaluation instruments used by the California Minimal Smoke-Free Homes intervention site. Individual sites may have slightly modified these evaluation instruments to tailor them to the community they are addressing.
2005 MUH Owner/Manager Survey Questionaire
The Multi-Unit Housing owner/manager survey was designed to collect information from Multi-Unit Housing owner/manager about their property smoking policies, problem of secondhand smoke on this property, and smoke free policy and enforcement.
Cessation Survey Example
The Tobacco Control Evaluation Center is a full service evaluation provider and provides support to local project evaluators and project directors on evaluation. The form of evaluation instruments varies by the purposes of evaluation. Here are a few examples of local evaluation instruments that developed by the Tobacco Control Evaluation Center. For more information, please visit the website: http://tobaccoeval.ucdavis.edu/data-collection/instrument-search.html