Welcome to your weekly UPTERN Survey! On the web pages that follow,
we will ask a number of questions about your experiences over the past
several days. We will also ask some questions about your past behaviors
and reactions. Here are some things to know/do:
1.
The survey is shorter than some previous surveys and should take
you 10-15 minutes or so to answer all the questions.
2.
Given its length, we will be paying you ${amount} for completing it.
3.
Please read each question carefully and provide the most accurate
response that you can.
4.
Check your answers to each question carefully before you click at the
bottom of each screen. Once you've successfully submitted your
answers to the questions on a page, you will not be able to return to
that page to change your answers.
Our survey system checks your responses to make certain that you
haven't accidentally left any questions unanswered and that your
responses are consistent (e.g., if you say you smoked 2 cigarettes
yesterday the system won’t also allow you to say elsewhere that you
smoked 5 cigarettes yesterday). If you have unanswered questions or
there is any other problem with your responses, a message will appear at
the top of the page, and a red asterisk (*) will appear near the location of
the problem. Please correct the problem(s) and re-submit your answers.
Here’s more information:
1.
All of your responses are completely confidential.
2.
You help us the most when you carefully and accurately answer
every question. However, you have the right to leave any question
unanswered. You will see a checkbox at the bottom of each page of
the survey for you to use should you wish to leave any question
unanswered. Click this checkbox if you choose to not answer a
question on the page, and then submit the page.
3.
If you experience technical difficulty while completing the survey -
such as your computer or browser crashing, a power failure, loss of
your internet connection, etc. - simply return to this website
(www.uptern.net) and log in again. After logging in and being
presented with this instruction page, your survey will resume where
you left off. Your previous work will not have been lost!
[DV1a] Since you completed your last weekly survey, have you smoked any cigarettes, even a puff?
[DV1b] Since you completed your last weekly survey, have you consumed any alcohol?
[DV1c] Since you completed your last weekly survey, have you used any marijuana?
(Section Conditional: qDV1a;=;#1)
[DV2bGrid] Please think about the last day that you smoked (other than today), when
you said you smoked [calculate number] cigarette(s). Please record how many
cigarettes you smoked on that day during each time period, below. Enter 0 if
you did not smoke during a time period.
# of cigarettes
morning (early morning to 12 noon)
[DV2b1]
afternoon (12 noon to 6 pm)
[DV2b2]
evening (6 pm to 12 midnight)
[DV2b3]
late night (after 12 midnight
[DV2b4]
[DV3] Out of the [calculate total] cigarette(s) you smoked this week, how many did
you smoke while you were alone?
[DV4] This past week, did you smoke in any of the following places? (check all that apply)
[DV5] This past week, did you smoke while… (check all that apply)
[DV6] This past week, did you smoke… (check all that apply)
[DV7Grid] This past week, how soon after waking up did you smoke your first cigarette of the day (on average, on days that you smoked)?
Number of
Minutes/Hours
[DV7a]
[DV7b]
minutes {1}; hours {2}
[DV8] This past week, when you smoked, did you typically smoke a whole cigarette?
[DV8a] This past week, how much of a cigarette did you typically smoke?
(Question Conditional: qDV9;=;#1)
[DV9a] This past week, how deeply did you typically inhale?
[DV10] This past week, what was the longest period you went without smoking cigarettes (while awake)?
[DV11] This past week, when you were not smoking, how much did you experience craving for cigarettes?
Not at all 0
1
2
3
4
5
6
7
8
9
Extremely 10
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
(Section Conditional: qDV1a;=;#1)
[DV13Grid] Answer the following about your experience in the past week or your current feelings and thoughts
Not at all True
Somewhat True
Moderately True
Very True
Extremely True
[DV13a] My smoking pattern is very irregular throughout the day. It is not unusual for me to smoke many cigarettes in an hour, then not have another one until hours later.
{1}
{2}
{3}
{4}
{5}
[DV13b] My smoking is not much affected by other things. I smoke about the same amount whether I am relaxing or working, happy or sad, alone or with others, etc.
{1}
{2}
{3}
{4}
{5}
[DV13c] Even if traveling a long distance, I'd rather not travel by airplane because I wouldn't be allowed to smoke.
{1}
{2}
{3}
{4}
{5}
[DV13d] Sometimes I decline offers to visit with my parents or non-smoking friends because I know they'll feel uncomfortable if I smoke.
{1}
{2}
{3}
{4}
{5}
[DV13e] I tend to avoid restaurants that don't allow smoking, even if I would otherwise enjoy the food.
{1}
{2}
{3}
{4}
{5}
[DV13f] I smoke consistently and regularly throughout the day.
{1}
{2}
{3}
{4}
{5}
Not at all True
Somewhat True
Moderately True
Very True
Extremely True
[DV13g] I smoke at different rates in different situations.
{1}
{2}
{3}
{4}
{5}
[DV13h] Compared to when I first started smoking, I need to smoke a lot more now in order to really get what I want out of it.
{1}
{2}
{3}
{4}
{5}
[DV13i] Compared to when I first started smoking, I can smoke more now without feeling nauseated or ill.
{1}
{2}
{3}
{4}
{5}
[DV13j] After not smoking for a while, I need to smoke in order to keep myself from experiencing any discomfort, anxiety or restlessness.
{1}
{2}
{3}
{4}
{5}
[DV13k] It's hard to estimate how many cigarettes I smoke per day because the number often changes.
{1}
{2}
{3}
{4}
{5}
[DV13L] I feel a sense of control over my smoking. I can take it or leave it at any time.
{1}
{2}
{3}
{4}
{5}
[DV13m] The number of cigarettes I smoke per day is often influenced by other factors - how I'm feeling, what I'm doing, etc.
{1}
{2}
{3}
{4}
{5}
Not at all True
Somewhat True
Moderately True
Very True
Extremely True
[DV13n] When I'm really craving a cigarette, it feels like I'm in the grip of some unknown force that I cannot control.
{1}
{2}
{3}
{4}
{5}
[DV13o] Since I began to smoke, the amount I smoke has increased somewhat.
{1}
{2}
{3}
{4}
{5}
[DV13p] Whenever I go without smoking for a few hours, I experience craving.
{1}
{2}
{3}
{4}
{5}
[DV13q] My cigarette smoking is fairly regular throughout the day.
{1}
{2}
{3}
{4}
{5}
[DV13r] After not smoking for a while, I need to smoke to relieve feelings of restlessness and irritability.
{1}
{2}
{3}
{4}
{5}
[DV13s] I smoke about the same amount on weekends as on weekdays.
{1}
{2}
{3}
{4}
{5}
[DV14Grid] This past week, how many cigarettes did you buy? Indicate units of purchase (packs, cartons, half cartons, or other) and the number of units purchased.
Number
Units
[DV14a]
[DV14b]
packs {1}; cartons {2}; half cartons {3}; other {4}
The following questions ask you about your feelings and thoughts during the last week. Please indicate how often you felt or thought each way. Choose ONE answer for each question.
This past week, how often have you felt…
(Question Conditional: qDV14a;>;#0)
[DV15] This past week, what did you pay for each unit of cigarettes (selected on last page) that you bought?
[AF1Grid] Think about your feelings over the past week. Indicate how much you have felt each of the following:
Not at all 0
1
2
3
4
5
6
7
8
9
Extremely 10
[AF1a] Bored
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1b] Restless
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1c] Happy
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1d] Irritable
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1e] Spacey
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1f] Tired
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1g] Miserable
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1h] Tense
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
Not at all 0
1
2
3
4
5
6
7
8
9
Extremely 10
[AF1i] Contented
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1j] Energetic
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1k] Frustrated/angry
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1L] Sad
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1m] Sleepy
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
[AF1n] Difficulty concentrating
{0}
{1}
{2}
{3}
{4}
{5}
{6}
{7}
{8}
{9}
{10}
The following questions ask you about your feelings and thoughts during the last week. Please indicate how often you felt or thought each way. Choose ONE answer for each question.
This past week, how often have you felt…
[ST1] that you were unable to control the important things in your life?
[ST2] confident about your ability to handle your personal problems?
[ST3] that things were going your way?
[ST4] that difficulties were piling up so high that you could not overcome them?
Below is a list of the ways you might have felt or behaved. Please indicate how often you have felt this way during the past week.
This past week, have you...
[D1] felt that you could not shake off the blues even with help from family or friends.
[D2] felt depressed.
[D3] felt lonely.
[D4] had crying spells.
[D5] felt sad.
[SC13] Out of every ten students at Purdue, how many do you think smoke cigarettes?
[SC14] Out of every ten freshman at Purdue, how many do you think smoke cigarettes?
[DV62] Do you think that you will smoke a cigarette in the next 30 days?
[DV65] Do you think that you will use some other tobacco product (e.g. cigars, smokeless tobacco, etc.) in the next 30 days?
[SL1Grid] During the past week, what time have you usually gone to bed at night?
[SL1a]
[SL1b] :
[SL1c]
[SL1gridtext] (e.g., 11:35 PM)
[SL2Grid] During the past week, how long has it usually taken you to fall asleep each night? (Enter number and select minutes or hours)
[SL2a]
[SL2b]
Minute(s) {1}; Hour(s) {2}
[SL3Grid] During the past week, what time have you usually gotten up in the morning?
[SL3a]
[SL3b]:
[SL3c]
[SL3gridtext] (e.g., 9:00 AM)
[SL4Grid] On average during the past week, how much actual sleep did you get at night? (This may be different than the time you spent in bed.)
[SL4a]
[SL4b]
Minute(s) {1}; Hour(s) {2}
[SL5a] During the past week, how often have you had trouble sleeping because you…Could not get to sleep within 30 minutes?
[SL5b] Woke up in the middle of the night or too early in the morning?
[SL6] During the past week, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?
[BI5Grid] Please select the option that best describes how much you agree or disagree with each of the following statements about your body:
Strongly Disagree
Somewhat Disagree
Neither Agree nor Disagree
Somewhat Agree
Strongly Agree
[BI15a] I'm happy with the way I look.
{1}
{2}
{3}
{4}
{5}
[BI15b] I wish I could change my body.
{1}
{2}
{3}
{4}
{5}
[BI15c] I'm satisfied with how much I weigh.
{1}
{2}
{3}
{4}
{5}
[BI15d] How much I weigh has little to do with how popular I am.
{1}
{2}
{3}
{4}
{5}
[BI15e] I am proud of my body.
{1}
{2}
{3}
{4}
{5}
[BI6] Which of the following are you trying to do now:
[BI7a] How often, in the past month have you eaten what others would consider a large amount of food while experiencing a sense of having lost control. (Enter # of days out of 30)
[BI7b] How often, in the past month have you vomited to control shape or weight, or to counteract the effects of eating? (Enter # of days out of 30)