Current Hookah Smoking Study Questionnaires

Smoker's Profile

Subject Questionnaire

UTS(+)

Shiffman-Jarvik Scale


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Old Questionnaires


The following UTS (+) form is the same as the one listed above - only it's layout and processing of the information is defferent. UTS and UTS(+) forms below were initially created for use in the scanner, so it is a multipage form with only 2 questions per page. When submitted, the information is emailed and also stored in a log file. Each time the form is completed, a new log file is created. These forms use AlienForm2 cgi script for processing.

UTS

Urge to Smoke Scale

UTS +

Urge to Smoke Scale +: all positive questions/statements (only 7, 8 and 10 are different from UTS).

Scan Checklist

Checklist for the Hookah Smoking Study Protocol
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