2022 Survey GAV
PMTA Consumer Survey 2022
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Name (initials if would like to remain anonymous) *
What is your email address? ***Not Required, but Appreciated!***
How old are you? *
What is the highest degree you earned? *
Which of these categories best describes your total combined  family income for your household for the past 12 months? This should include income (before taxes) from all sources, wages, rent from properties, social security, disability and/or veteran’s benefits, unemployment benefits, workman’s compensation, help from relatives (including child payments and alimony), and so on. *
Have you ever smoked cigarettes? (Even on one occasion) *
Have you smoked 100 or more cigarettes? *
If you smoked more than 100 cigarettes, how many years did you smoke? *
Do you currently smoke cigarettes ? *
If you currently smoke cigarettes , how many years have you smoked? *
Have you ever used a nicotine replacement therapy product? (Choose all that apply) *
Required
Use history *
Required
Do you currently use an electronic nicotine product? *
Have you ever used an electronic nicotine product? *
If you ever used an electronic nicotine product, how many years have/did you use them? *
Was your goal to stop using combustible cigarettes by using ENDS products? *
Was your goal to stop using all tobacco products? *
If you use an electronic nicotine product, what type of device do you use? *
If you have/are using an electronic nicotine product, what level of nicotine did you use when you first started using the product? *
If you use an electronic nicotine product, what level of nicotine are you currently using? *
Do you feel that your nicotine use has reduced since using an electronic nicotine product? *
If you are/were using an electronic nicotine product, what flavor or flavors did you use when first started using an electronic nicotine product? Choose all that apply. *
Required
If you use an electronic nicotine product, what flavor or flavors are you currently using? Choose all that apply. *
Required
What brand of electronic nicotine product/e-liquid (GAV,candy king,etc....)are you using? (Indicate if you do not use an electronic nicotine products) *
What percentage would you contribute the use of ENDS devices which helped you completely quit using smoking combustible cigarettes? *
What would you do if your flavor was banned? *
What's your story? Please feel free to provide a brief testimonial about your electronic nicotine product use.  (Indicate if you do not use an electronic nicotine products) *
I give permission for my individual answers to be used and disclosed for research and study purposes *
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