Kenya W1 Smokeless Survey Code: KE1-L Languages: Kiswahili Mode: Face to Face

Kenya W1 Smokeless Survey Code: KE1-L Languages: Kiswahili Mode: Face to Face Kenya W1 Smokeless, Generated on 31March2015

Interviewer ID: L Ministry of Public Health and Sanitation University of Nairobi International Tobacco Control Policy Evaluation Survey ITC KENYA WAVE 1 Smokeless Tobacco User Survey (L) Province District Division Location Sub-Location E.A. No. EA type EA status Structure No. Household No. Individual ID Date of Survey: (dd)/ (mm)/ (yy) Start Time: am/pm End Time: am/pm Checked by: (Name of Supervisor) Date checked: ITC Kenya W1 Smokeless Tobacco User Survey FINAL Oct 10, 2012

Kenya W1 Smokeless Q# VarName KE1-L 001 BI72270 Obtain CONSENT and SIGNATURE as per protocol before proceeding with the survey. 002 HG72010 Interview Note: Read response options for all questions EXCEPT: a) DO NOT read out response options b) Yes/No response options c) True/False response options OTHER SMOKED TOBACCO -- PAST & PRESENT FREQUENCY Interviewer Note: Use the following scale to answer the questions in the table below. I would like to begin by asking you about smoked tobacco products excluding cigarettes and bidis. Tell me if you currently smoke, have smoked in the past, or have never smoked each of the following tobacco products? Ningependa kuanza kwa kukuuliza kuhusu bidhaa zinazovutwa za tumbaku ambazo si sigara au bidis. Niambie kama hivi sasa unavuta, ulivuta zamani, au kama hujawahi kuvuta kamwe bidhaa zozote za tumbaku kati ya hizi zifuatazo? 1 Currently smoke at least once a month / Kwa sasa ninavuta kama mara moja kwa mwezi 2 Currently smoke less than once a month /Kwa sasa ninavuta chini ya mara moja kwa mwezi 3 Smoked in the past but have since stopped / Nilivuta zamani lakini nikaacha 4 Have never smoked / Sijawahi kuvuta kamwe 003a TF72103 Hookah or Water pipe / Kiko cha maji 1 2 3 4 8 9 003b TF72106 Hooklis 1 2 3 4 8 9 003c TF72107 Chutta 1 2 3 4 8 9 003d ST72777 Pipe. / Kiko 1 2 3 4 8 9 003e ST72773 Cigars / Biri 1 2 3 4 8 9 003f ST72774 E-cigarettes / Sigara umeme 1 2 3 4 8 9 003g TF72102 Kreteks / Biri zilizo wazi pande zote 1 2 3 4 8 9 003h TF72104 Cheroots 1 2 3 4 8 9 003i ST72772 Cigarillos 1 2 3 4 8 9 003j TF72105 Other smoked tobacco product (specify below) Bidhaa zingine zinazovutwa za tumbaku (taja hapo chini) 1 2 3 4 8 9 1

003k TF72105O Other smoked tobacco product Bidhaa zingine za kuvuta za tumbaku: 8 9 004 FR72510 CIGARETTES -- PAST AND PRESENT FREQUENCY Tell me if you currently smoke, have smoked in the past, or have never smoked cigarettes? Niambie kwa sasa kama unavuta, ulivuta zamani au haujawahi kuvuta sigara kamwe? 2 Currently smoke less than once a month / Kwa sasa ninavuta sigara chini ya mara moja kwa mwezi 3 Smoked in the past but have since stopped / Nilivuta zamani lakini sasa nikaacha 4 Have never smoked / Sijawahi kuvuta kamwe CIGARETTES LIGHT/MILD Over the years tobacco companies have distinguished what they call regular or full-flavoured cigarettes from others variously described as Light or Mild. For the following questions, I will refer to all types of light or mild cigarettes as Light Cigarettes. Please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements about light cigarettes. Kwa miaka mingi sasa kampuni za tumbaku zimetofautisha kinachoitwa sigara za Kawaida au ladha kamili na maelezo mengi kama laini au kiwango kidogo. Kwa maswali yafuatayo, nitarejelea aina zote za sigara laini na zenye kiwango kidogo cha tumbaku kama sigara laini. Tafadhali niambie kama, unakubali kabisa, unakubali, haukubali wala haukatai, haukubali, haukubali kabisa, kauli zifuatazo kuhusu sigara laini. 1 Strongly agree / Nakubali kabisa 2 Agree / Nakubali 3 Neither agree nor disagree / Sikubali wala sikatai 4 Disagree / Sikubali 5 Strongly disagree / Sikubali kabisa 8 Refused (Don t read) 9 Don t Know (Don t read) 005a LM72321 Light cigarettes are less harmful than regular cigarettes. Sigara laini zinasababisha madhara kidogo kuliko sigara za kawaida 1 2 3 4 5 8 9 2

005b LM72331 Light cigarettes are smoother on your throat and chest than regular cigarettes. Sigara laini ni nyororo kooni na kifuani kuliko sigara za kawaida 1 2 3 4 5 8 9 CIGARETTES -- PSYCHOSOCIAL BELIEFS Interviewer Note: Repeat the response options if necessary. Use the following scale to answer the questions in the table below. Please tell me whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements about smoking. Tafadhali niambie kama, unakubali kabisa, unakubali, haukubali wala haukatai, haukubali, haukubali kabisa, kauli zifuatazo kuhusu uvutaji wa sigara 1 Strongly agree / Nakubali kabisa 2 Agree / Nakubali 3 Neither agree nor disagree / Sikubali wala sikatai 4 Disagree / Sikubali 5 Strongly disagree / Sikubali kabisa 006a PS72244 Smoking cigarettes is a sign of sophistication. Uvutaji sigara ni ishara ya kuwa mtu wa kisasa 006b PS72325 It is acceptable for females to smoke cigarettes. Inakubalika kwa wanawake kuvuta sigara 1 2 3 4 5 8 9 1 2 3 4 5 8 9 007 WL72101 CIGARETTES -- WARNING LABELS Thinking now about the packages for cigarettes... As far as you know, do any cigarette packages in Kenya have warning labels? Fikiri sasa kuhusu vifungashio vya sigara Jinsi unavyojua wewe, je, vifungashio vyovyote vya sigara Kenya vina lebo za taadhari? 2 No => Go to 014/TF024 (BIDIS -- PAST & PRESENT FREQUENCY) => Go to 014/TF024 (BIDIS -- PAST & PRESENT FREQUENCY) => Go to 014/TF024 (BIDIS -- PAST & PRESENT FREQUENCY) 3

008 WL72201 In the last 30 days, how often, if at all, have you NOTICED warning labels on cigarette packages? Kwa siku thelathini zilizopita, ni mara ngapi UMEONA lebo za taadhari kwenye vifungashio vya sigara? 1 Never / Hapana/Kamwe 2 Once in a while / Mara moja moja 3 Often / Mara nyingi 009 L72507 Do you think that cigarette packages should have more health information than they do now, less information, or about the same amount as they do now? Je unafikiri vifungashio vya sigara vinapaswa kuwa na habari za afya zaidi, kidogo zaidi au kiwango sawa na zilizoko sasa? 1 Less health information / Habari za afya kidogo 2 About the same / Kama zilivyo sasa 3 More health information / Habari za afya zaidi 010 WL72425 Interviewer note: Show manikin flashcard 1. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the cigarette health warnings make you feel? Do they make you... Je, taadhari za afya kuhusu sigara zinakufanya ujisikieje? Je zinakufanya 1 Very alarmed / Ushtuke sana 2 Somewhat alarmed / Ushtuke kiasi fulani 3 Neither alarmed nor calm / Usishtuke wala usitulie 4 Somewhat calm / Utulie kiasi fulani 5 Very calm / Utulie sana 4

011 WL72424 Interviewer note: Show manikin flashcard 2. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the cigarette health warnings make you feel? Are the feelings... Je, taadhari za afya kuhusu sigara zinakufanya uwe na hisia gani? Je, hisia hizo ni 1 Very unpleasant / Mbaya sana 2 Somewhat unpleasant / Mbaya kiasi fulani 3 Neither unpleasant nor pleasant / Si mbaya wala si nzuri 4 Somewhat pleasant / Nzuri kiasi fulani 5 Very pleasant / Nzuri sana 012 WL72426 How realistic do you think the cigarette health warnings are? Je, unafikiri taadhari za afya kwenye sigara zina uhalisi kiasi gani? 1 Not at all realistic / Hazina uhalisi kabisa 2 A little realistic / Zina uhalisi kidogo 3 Somewhat realistic / Zina uhalisi kiasi fulani 4 Very realistic / Zina uhalisii sana 5 Extremely realistic / Zina uhalisi uliokithiri 013 WL72427 How do the cigarette health warnings make you feel? Do they make you... Je, taadhari za afya kwenye sigara zinakufanya ujisikieje? Zinakufanya 1 Extremely worried / Uwe na wasiwasi uliokithiri 2 Very worried / Uwe na wasiwasi sana 3 Somewhat worried / Uwe na wasiwasi kiasi fulani 4 A little worried / Uwe na wasiwasi kidogo 5 Not worried at all / Usiwe na wasiwasi wowote 5

014 TF72024 BIDIS -- PAST & PRESENT FREQUENCY Tell me if you currently smoke, have smoked in the past, or have never smoked bidis? Niambie kama unavuta kwa sasa, ulivuta zamani au haujawahi kuvuta bidis? 2 Currently smoke less than once a month / Kwa sasa ninavuta chini ya mara moja kwa mwezi 3 Smoked in the past but have since stopped / Nilivuta zamani lakini niliacha 4 Have never smoked / Sijawahi kuvuta => Go to 023/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) => Go to 023/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) 015 OT72101 BIDIS -- PSYCHOSOCIAL BELIEFS Please tell me whether you strongly agree, agree, neither agree nor disagree, disagree or strongly disagree with the following statement. It is acceptable for females to smoke bidis. Tafadhali niambie kama unakubali kabisa, unakubali, haukubali wala haukatai, haukubali, au haukubali kabisa kauli zifuatazo. Inakubalika wanawake kuvuta bidis. 1 Strongly agree / Nakubali kabisa 2 Agree / Nakubali 3 Neither agree nor disagree / Sikubali wala sikatai 4 Disagree / Sikubali 5 Strongly disagree / Sikubali kabisa 6

016 WT72300 BIDIS -- WARNING LABELS Thinking now about the packages for bidis. As far as you know, do any bidi packages in Kenya have warning labels? Fikiri sasa kuhusu vifungashio vya bidis. Jinsi unavyofahamu wewe, je, hapa Kenya vifungashio vya bidis vina lebo za taadhari? 2 No => Go to 023/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) => Go to 023/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) => Go to 023/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) 017 WT72302 In the last 30 days, how often, if at all, have you NOTICED warning labels on bidi packages? Kwa siku thelathini zilizopita, ni mara ngapi UMEONA lebo za taadhari kwenye vifungashio vya bidis? 1 Never / Hapana/Kamwe 2 Once in a while / Mara moja moja 3 Often / Mara nyingi 018 WT72332 Do you think that bidi packages should have more health information than they do now, less information, or about the same amount as they do now? Je unafikiri vifungashio vya bidis vinapaswa kuwa na habari za afya zaidi, kidogo zaidi, au kiwango sawa na ilivyo sasa? 1 Less health information / Habari za afya kidogo 2 About the same / Kama zilivyo sasa 3 More health information / Habari za afya zaidi 7

019 WT72345 Interviewer note: Show manikin flashcard 1. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the bidi health warnings make you feel? Do they make you... Je, taadhari za afya kuhusu bidis zinakufanya ujisikieje? Je, zinakufanya.? 1 Very alarmed / Ushtuke sana 2 Somewhat alarmed / Ushtuke kiasi fulani 3 Neither alarmed nor calm / Usishtuke wala usitulie 4 Somewhat calm / Utulie kiasi fulani 5 Very calm / Utulie sana 020 WT72344 Interviewer note: Show manikin flashcard 2. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the bidis health warnings make you feel? Are the feelings... Je, taadhari za afya za bidis zinakufanya uwe na hisia gani? Je hisia hizo ni. 1 Very unpleasant /Mbaya sana 2 Somewhat unpleasant /Mbaya kiasi fulani 3 Neither unpleasant nor pleasant /Si mbaya wala si nzuri 4 Somewhat pleasant /Nzuri kiasi fulani 5 Very pleasant /Nzuri sana 021 WT72346 How realistic do you think the warning labels on bidis packages are? Je, unafikiri lebo za taadhari kwenye vifungashio vya bidis zina uhalisi kiasi gani? 1 Not at all realistic /Hazina uhalisi wowote 2 A little realistic /Zina uhalisi kidogo 3 Somewhat realistic /Zina uhalisi kiasi fulani 4 Very realistic /Zina uhalisi sana 5 Extremely realistic /Zina uhalisis uliokithiri 8

022 WT72347 How do the bidi health warnings make you feel? Do they make you... Je, taadhari za afya za bidis zinakufanya ujisikieje? Zinakufanya 1 Extremely worried / Uwe na wasiwasi uliokithiri 2 Very worried / Uwe na wasiwasi sana 3 Somewhat worried / Uwe na wasiwasi kiasi fulani 4 A little worried / Uwe na wasiwasi kidogo 5 Not worried at all / Usiwe na wasiwasi wowote 023 SB72150 SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS The next series of questions are about both cigarettes and bidis Do you think smoking is...? Maswali yafuatayo yanahusu aina zote mbili, sigara na bidis...je unafikiri kuvuta sigara au bidis ni? 1 Good for health /Kuzuri kwa afya 2 Neither good nor bad for health /Si kuzuri wala kubaya kwa afya 3 Not good for health /Si kuzuri kwa afya Interviewer Note: Repeat Does smoking cause before each question. Use the following scale to answer the questions in the table below. I am going to read you a list of health effects and diseases that may or may not be caused by smoking cigarettes and bidis. Based on what you know or believe, does smoking cause...? Nitakusomea orodha ya madhara ya afya na magonjwa yanayoweza kusababishwa au kutosababishwa na kuvuta sigara au bidis. Kutokana na unavyojua au unavyoamini, kuvuta sigara au bidis kunasabisha? 2 No 024a KT72412 Stroke? Msituko/Kiharusi (kutokana na sindikizo la damu)? 024b KT72451 Impotence in male smokers? / Wanaume wavutaji kukosa nguvu za kiume? 024c KT72423 Mouth cancer? / Kansa ya mdomoni? 9

024d KT72422 Throat cancer? / Kansa ya koo? 024e KT72421 Lung cancer in smokers? / Kansa ya mapafu kwa wanaovuta? 024f KT72411 Heart disease? / Ugonjwa ya moyo? 024g KT72425 Chronic obstructive pulmonary disease (COPD)? (blocked lungs, causing shortness of breath) / Magonjwa sugu ya kuziba mapafu na kupumua kwa shida? 024h KT72431 Tuberculosis? / Kifua kikuu/ TB? Interviewer Note: Repeat Does passive smoking cause before each question. Use the following scale to answer the questions in the table below. I am going to read you a list of health effects and diseases that may or may not be caused by passive smoking (smoke that you inhale from other people smoking). Based on what you know or believe, does passive smoking cause...? Sasa nitakusomea orodha ya madhara ya afya, na magonjwa yanayoweza kumpata mtu asiyevuta sigara au bidis lakini awe karibu na mtu anayevuta sigara au bidis (hivyo anavuta moshi wa sigara au bidis bila kujua, ama bila hiali yake). Kulingana na unavyojua au unavyoamini, je, kuvuta moshi wa mtu mwingine kunaweza kusababisha...? 2 No 025a KT72460 Lung cancer in non-smokers? / Kansa ya mapafu kwa wasiovuta? 025b KT72450 Heart disease? / Magonjwa ya moyo? 025c KT72477 Asthma in children? / Pumu kwa watoto/ Asma? Interviewer Note: Use the following scale to answer the questions in the table below. Based on what you know or believe, does cigarette smoke contain... Kulingana na unavyojua au unavyoamini, je moshi wa sigara una 2 No 026a KN72342 Nicotine? / Nikotini? 026b KN72341 Carbon monoxide? / Kaboni monoksidi? 10

Interviewer Note: Use the following scale to answer the questions in the table below. Based on what you know or believe, does bidi smoke contain... Kulingana na unavyojua au unavyoamini, je moshi wa bidis una 2 No 027a KT72291 Nicotine? / Nikotini? 027b KT72292 Carbon monoxide? / Kaboni monoksidi? Interviewer Note: Use the following scale to answer the questions in the table below. Please tell me whether the statements are true or false. Tafadhali niambie kama kauli zifuatazo ni kweli au si kweli 1 True/Kweli 2 False/Si kweli 028a KT72332 The nicotine in cigarettes and bidis causes most of the cancer. Nikotini kwenye sigara na bidis husababisha aina nyingi za kansa 028b KT72333 Nicotine is the main substance in cigarettes and bidis that makes people smoke. Nikotini ndiyo kemikali kuu inayopatikana kwenye sigara na bidis, na ndiyo inayowafanya watu wavute. 029 KN72434 Are hand-rolled cigarettes more or less harmful than factory-made cigarettes, or are they equally harmful to health? Je sigara za kusokotwa kwa mkono zina madhara makubwa au machache kuliko sigara zinazotengenezwa viwandani, au zina madhara ya kiafya sawa? 1 Hand-rolled are more harmful / Sigara za kusokotwa kwa mkono zina madhara zaidi 2 Equally harmful / Zina madhara sawa 3 Hand-rolled are less harmful / Sigara za kusokota na mikono zina madhara machache 11

SMOKED TOBACCO -- PSYCHOSOCIAL BELIEFS Interviewer Note: Repeat the response options if necessary. Use the following scale to answer the questions in the table below. Thinking now about both cigarettes and bidis... Please tell me whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements about smoking in general. Sasa fikiri kuhusu sigara na bidis kwa pamoja Tafadhali niambie kama unakubali kabisa, unakubali, haukubali wala haukatai, haukubali, au haukubali kabisa, kila moja ya kauli zifuatzao kuhusu uvuta kwa jumla. 1 Strongly agree / Nakubali kabisa 2 Agree / Nakubali 3 Neither agree nor disagree / Sikubali wala sikatai 4 Disagree / Sikubali 5 Strongly disagree / Sikubali kabisa 030a OT72310 Smoking is addictive. Kuvuta kunatawala mtumiaji/kunamfanya mtu kuwa mtumwa. 030b OT72361 Society disapproves of smoking. Jamii haikubaliani na uvutaji 030c OT72366 The medical evidence that smoking is harmful is exaggerated. Ushaidi wa kisayansi kwamba kuvuta sigara kuna madhara umeongezewa chumvi 030d OT72375 Smoking is no more risky than lots of other things that people do. Kuvuta si hatari zaidi kuliko mambo mengine mengi watu wanayofanya 030e PS72113 The harsher (stronger) the tobacco smoke feels in your throat, the more harmful the smoke is likely to be. Jinsi unavyohisi ukali wa moshi wa tumbaku kooni mwako ndivyo wingi wa madhara ya moshi yatakavyokuwa. 1 2 3 4 5 8 9 1 2 3 4 5 8 9 1 2 3 4 5 8 9 1 2 3 4 5 8 9 1 2 3 4 5 8 9 12

SMOKELESS TOBACCO -- PAST & PRESENT FREQUENCY Interviewer Note: Use the following scale to answer the questions in the table below. Now I will ask you about smokeless tobacco. Tell me if you currently use, have used in the past, or have never used each of the following products? Sasa nitakuuliza kuhusu tumbaku isiyovutwa.niambie kama unatumia kwa sasa, uliwahi kutumia zamani, au hujawahi kutumia bidhaa zifuatazo za tumbaku: 1 Currently use at least once a month / kwa sasa ninatumia angalau mara moja kwa mwezi 2 Currently use less than once a month / Kwa sasa ninatumia chini ya mara moja kwa mwezi 3 Used in the past but have since stopped / Nilitumia zamani lakini niliacha 4 Have never used / Sijawahi kutumia kamwe 031a TF72620 Oral snuff (Mbaki, Tomoto, Ogoro) 1 2 3 4 8 9 ugoro wa mdomoni 031b TF72621 Kuber (Aseem or Miraj) 1 2 3 4 8 9 031c TF72622 Plain chewing tobacco Tumbaku ya kutafuna 031d TF72623 Nasal snuff Ugoro wa puani 031e TF72505 Other smokeless tobacco products (specify below). Aina nyingine ya bidhaa zisizovutwa za tumbaku (taja hapa chini) 031f TF72505O Write names of other smokeless products used (maximum 3): Andika majina ya bidhaa zingine zisizovutwa za tumbaku (zisidi 3) 1 2 3 4 8 9 1 2 3 4 8 9 1 2 3 4 8 9 1. 1 2 3 4 8 9 2. 3. 13

032 TF72729 Interviewer Note: Select only ONE. On average, how often do you use your usual smokeless product? Kwa wastani unatumia bidhaa zako kawaida za tumbaku isiyovutwa mara ngapi? 1 Less than once a week / Chini ya mara moja kwa wiki 2 Once a week / Mara moja kwa wiki 3 Twice a week / Mara mbili kwa wiki 4 3-5 times a week / Mara 3 hadi 5 kwa wiki 5 Every day or almost every day / Kila siku au karibu kila siku 6 More than once a day / Zaidi ya mara moja kwa siku 033 TF72721 Ask if 032/TF729=5 or 6. On average, how many times do you use smokeless tobacco per day? Kwa wastani unatumia tumbaku isiyovutwa mara ngapi kwa siku? 8 9 034 TF72787 At what age did you start using smokeless tobacco? Ulianza kutumia tumbaku isiyovutwa ukiwa na umri gani? 8 9 SMOKELESS TOBACCO USE -- WHEN AND WHY Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why did you start using smokeless tobacco? Kwa nini ulianza kutumia tumbaku isiyovutwa? 2 No 14

035a TC72711 Friends or family members were using smokeless tobacco. Marafiki au jamaa zangu walikuwa wanatumia tumbaku isiyovutwa 035b TC72810 People in the media (public figures/artists/ role models) used smokeless tobacco Watu kwenye vyombo vya habari, (watu mashuhuri,wasanii, watu ambao ni mfano wa kuigwa,)walitumia tumbaku isiyovutwa 035c TC72803 I thought smokeless tobacco might help me lose weight. Nilifikiri tumbaku isiyovutwa ingenisaidia kupunguza uzito 035d TC72804 I thought smokeless tobacco might reduce my stress. Nilifikirii tumbaku isiyovutwa ingenisaidia kupunguza msongo wa mawazo 035e TC72805 I was curious about whether I would enjoy using smokeless tobacco. Nilikuwa nataka kujua kama ningefurahia kutumia tumbaku isiyovutwa 035f TC72808 I thought using smokeless tobacco would give me something to do, to occupy my time. Nilifikiri kutumia tumbaku isiyovutwa ningepata kitu cha kufanya na hivyo kupitisha muda 035g TC72845 Smokeless tobacco is less harmful than other forms of tobacco. Tumbaku isiyovutwa ina madhara kidogo kuliko aina zingine za tumbaku 035h TC72846 I thought using smokeless tobacco might help me quit using tobacco altogether. Nilidhani kutumia tumbaku isiyovutwa ingenisaidia kuacha kutumia tumbaku kabisa 035i TC72847 Smokeless tobacco packs are attractive. Pakiti za tumbaku isiyovutwa zinavutia 035j TC72848 Smokeless tobacco tastes good. Tumbaku isiyovutwa ina ladha nzuri 035k TC72849 Smokeless tobacco is pleasurable to use. Tumbaku isiyovutwa ina raha yake 035l TC72719 Other (specify below). Mengineyo ( Taja hapo chini) 035m TC72719O Other reason: sabau mengine 8 9 15

036 SB72922 SMOKELESS TOBACCO -- DEPENDENCE How soon after waking do you first use smokeless tobacco? Baada ya kuamka, unakaa muda gani kabla ya kuvuta sigara yako ya kwanza? 1 5 min or less / Dakika tano au chini 2 6-30 min / Dakika sita mpaka dakika thelathini 3 31-60 min / Dakika thelathini na moja mpaka dakika sitini 4 More than 60 min / Zaidi ya dakika sitini 037 SB72929 Do you consider yourself addicted to smokeless tobacco? That is, addicted means a very strong habit. Would you say... Je unajifikiria kuwa umetawaliwa na tumbaku isiyovutwa? Yaani, kutawaliwa ina maana tabia sugu. Je ungesema 1 Not at all addicted / Sijatawaliwa kabisa 2 Yes, somewhat addicted / Ndio, nimetawaliwa kwa kiasi fulani 3 Yes, very addicted / Ndio nimetawaliwa kabisa 038 SB72933 In the LAST 30 DAYS, how often have you stopped yourself from using smokeless tobacco when you had the urge to use it? Kwa SIKU THELATHINI ZILIZOPITA, mara ngapi umejizuia kutumia tumbaku isiyovutwa wakati ulipokuwa na msukumo wa kutaka kutumia? 1 Never / Hapana/Kamwe 2 Once / Mara moja 3 A few times / Mara chache 4 Lots of times / Mara nyingi 16

039 TQ72661 SMOKELESS TOBACCO -- QUITTING ATTEMPTS Have you ever made a serious attempt to stop using all smokeless tobacco products? Je Umewahi kuchukua hatua kubwa ya kujaribu kuacha kutumia bidhaa zisizovutwa za tumbaku? 2 No => Go to 045/TQ733 (SMOKELESS TOBACCO -- BELIEFS ABOUT QUITTING). => Go to 045/TQ733 (SMOKELESS TOBACCO -- BELIEFS ABOUT QUITTING). => Go to 045/TQ733 (SMOKELESS TOBACCO -- BELIEFS ABOUT QUITTING). 040 TQ72665 Thinking about your last serious attempt to quit using smokeless tobacco... When did you start using smokeless tobacco again? Fikiri kuhusu mara ya mwisho ulipochukua hatua ya kuacha kutumia tumbaku isiyovutwa. Ulianza lini tena kutumia tumbaku isiyovutwa? 1 Less than 1 month ago /Chini ya mwezi mmoja uliopita 2 1-3 months ago /Mwezi mmoja mpaka miezi mitatu ilyiopita 3 3 months to half a year ago /Miezi mitatu mpaka nusu ya mwaka uliyopita 4 Half a year to 1 year ago /Nusu ya mwaka mpaka mwaka mmoja uliyopita 5 1-3 years ago/ Mwaka mmoja mpaka miaka mitatu iliyopita 6 More than 3 years ago /Zaidi ya miaka mitatu iliyopita Interviewer Note: Do not read out time units. Write the answer in the correct time period: hours, days, weeks or months. On this last quit attempt, how long did you go without using smokeless tobacco? Kwenye hili jaribio la mara ya mwisho la kuacha tumbaku isiyovutwa, ulipita muda gani bila kutumia? 8 9 041a 041b 041c 041d TQ72669A TQ72669B TQ72669C TQ72669D (hours) masaa (days) siku (weeks) wiki (months) miezi 88 99 88 99 88 99 88 99 17

042 TQ72674 On your most recent quit attempt, did you stop using smokeless tobacco suddenly or did you gradually cut down on the amount of smokeless tobacco you used? Kwenye jaribio lako la karibu la kuacha kutumia tumbaku isiyovutwa, je uliacha ghafula au uliacha hatua kwa hatua kiasi ambacho ulikuwa unatumia? 1 Stopped suddenly / Niliacha ghafula 2 Cut down gradually / Niliacha hatua kwa hatua Interviewer Note: Do not read out time units. Write the answer in the correct time period: hours, days, weeks or months. What is the LONGEST time that you EVER went without using smokeless tobacco? Ni kwa muda gani MREFU ambao UMEWAHI kukaa bila kutumia tumbaku isiyovutwa? 8 9 043a 043b 043c 043d AQ72678A AQ72678B AQ72678C AQ72678D (hours) masaa (days ) siku (weeks) wiki (months) miezi 88 99 88 99 88 99 88 99 Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why was your attempt to quit using smokeless tobacco not successful i.e. why did you start using smokeless tobacco again? Ni kwa nini jaribio lako la kutaka kuacha tumbaku isiyovutwa halikufanikiwa, yaani, kwa nini ulianza tena kutumia tumbaku isiyovutwa? 2 No 044a TC72851 I was experiencing physical withdrawal symptoms, or I was concerned that I would. Nilipata dalili za mwili zinazosababishwa na kuacha kutumia/ au niliogopa kupata dalili hizo 044b TC72852 I was feeling stressed. Nilijisikia msongo wa mawazo 18

044c TC72854 I was not motivated enough to stay quit. Sikuhimizwa vya kutosha kuacha 044d TC72855 It was too easy to get smokeless tobacco. Ilikuwa ni rahisi sana kupata tumbaku isiyovutwa 044e TC72856 I could not control my craving for smokeless tobacco. Sikuweza kudhibiti tamaa ya kutumia tumbaku isiyovutwa 044f TC72858 Smokeless tobacco became more affordable. Bei ya tumbaku isiyovutwa ilipunguau, niliweza kumudu gharama 044g TC72863 Friends or family members were using smokeless tobacco. Marafiki au jamaa zangu walikuwa wanatumia tumbaku isiyovutwa 044h TC72869 Other (specify below). Mengineyo(taja) 044i TC72869O Other reason: Sababu zingine 8 9 045 TQ72733 SMOKELESS TOBACCO -- BELIEFS ABOUT QUITTING Interviewer Note: Respondent does not need to be intending to quit to respond. Emphasize IF in wording. Now we would like to ask you some questions on any thoughts you might have had about quitting using smokeless tobacco in the future. If you decided to give up using smokeless tobacco completely in the next 6 months, how sure are you that you would succeed? Sasa ningependa kukuuliza maswali kuhusu mawazo yoyote ulio nayo kuhusu kuacha kutumia tumbaku isiyovutwa siku za baadaye. Kama ungeamua kuacha kutumia tumbaku isiyovutwa kabisa kwa miezi 6 ijayo, je una uhakika ungekufanikiwa kufanya hivyo? 1 Not at all sure / Sina uhakika kabisa 2 Slightly sure / Nina uhakika kidogo 3 Moderately sure / Nina uhakika wastani 4 Very sure / Nina uhakika kabisa 5 Extremely sure / Nina uhakika uliokithiri 19

046 TQ72735 How easy or hard would it be for you to quit using smokeless tobacco if you wanted to? Je, ingekuwa rahisi au vigumu kiasi gani kwako kuacha kutumia tumbaku isiyovutwa kama ungetaka? 1 Very easy / Ni rahisi sana 2 Somewhat easy / Ni rahisi kidogo 3 Neither easy nor hard / Si rahisi wala si vigumu 4 Somewhat hard / Ni vigumu kidogo 5 Very hard / Ni vigumu sana 047 TQ72741 One year from now, how much do you expect to be using smokeless tobacco, compared to now: More than now, the same amount, less than now, or not using at all? Mwaka mmoja kuanzia sasa, ni kiasi gani unatarajia kutumia tumbaku isiyovutwa, ukilinganisha na sasa? Zaidi ya sasa, zaidi kidogo, kiasi sawa na sasa, chini ya sasa au hautatumia kabisa? 1 A lot more than now / Zaidi sana kuliko sasa 2 A little more than now / Zaidi kidogo kuliko sasa 3 The same amount as now / Kiasi sawa na sasa 4 A little less than now / Chini kidogo kuliko sasa 5 A lot less than now, or / Kidogo zaidi ya sasa 6 Not using at all / Sitatumia kabisa 048 TQ72744 Are you planning to quit using smokeless tobacco Je una mpango wa kuacha kutumia tumbaku isiyovutwa... 1 Within the next month / Kwa mwezi ujao 2 Within the next 6 months / Kwa miezi 6 ijayo 3 Sometime in the future, beyond 6 months / Wakati fulani ujao; baada ya miezi 6 4 Not planning to quit / Sina mpango wa kuacha => Go to 052/TQ770. => Go to 052/TQ770. => Go to 052/TQ770. 20

049 TQ72746 Have you set a firm date for quitting smokeless tobacco? Je umejiwekea tarehe maalum ya kuacha kutumia tumbaku isiyovutwa? /Ndiyo 2 No/Hapana 050 TQ72750 How much do you want to quit using smokeless tobacco? Ni kwa kiasi gani unataka kuacha kutumia tumbaku isiyovutwa? 1 Not at all / Hapana kabisa 2 A little / Kwa kiasi kidogo 3 Somewhat / Kiasi fulani 4 A lot / Nataka sana Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Have any of the following reasons led you to think about quitting smokeless tobacco? Je kunayo yoyote kati ya sababu zifuatazo ambayo imekufanya ufikirie kuacha kutumia tumbaku isiyovutwa? 2 No 051a TQ72610 Concern for your personal health? Kujali afya yako binafsi? 051b TQ72616 Kenyan society's disapproval of smokeless tobacco use? Jamii ya wa Kenya kutokubali matumizi ya tumbaku isiyovutwa? 051c TQ72618 The price of smokeless tobacco products? Bei ya bidhaa zisizovutwa za tumbaku? 051d TQ72624 Smokeless tobacco restrictions at work? Sheria za mahali pa kazi haziruhusu matumizi ya tumbaku isiyovutwa? 051e TQ72640 Advertisements or information about the health risks of using smokeless tobacco? Matangazo au habari kuhusu madhara ya kiafya kuhusu matumizi ya tumbaku isiyovutwa? 21

051f TQ72646 Setting an example for children? Kuwa kielelezo /mfano kwa watoto? 051g TQ72630 Close friends' and family's disapproval of smokeless tobacco use? Marafiki wa karibu na jamaa zangu kupinga utumiaji wa tumbaku isiyovutwa? 051h TQ72644 The rising cost of essentials like food or fuel? Kupanda kwa gharama ya matumizi muhimu kama chakula na mafuta? 051i TQ72650 Other (specify below). Mengineyo 051j TQ72650O Other reason / Sababu zinginezo 052 TQ72770 8 9 If you were to quit using smokeless tobacco permanently in the next 6 months, how much do you think it would improve your health? Kama ungeacha matumizi ya tumbaku isiyovutwa kabisa kwa muda wote kwa miezi 6 ijayo, je unafikiri kitendo hicho kingeboresha afya yako kiasi gani? 1 Not at all / Hakingeboresha kabisa 2 Slightly / Kingeboresha kiasi kidogo 3 Moderately / Kingeboresha kwa wastani 4 Very much / Kingeboresha sana 5 Extremely Kingeboresha sana sana / kukithiri 053 TQ72775 If you were to quit using smokeless tobacco permanently in the next 6 months would your ability to enjoy life be improved, made worse, or stay the same? Kama ungeacha kutumia tumbaku isiyovutwa kabisa kwa miezi sita ijayo, je, uwezo wako wa kufurahia maisha ungeongezeka, ungepungua au ungebakia ulivyo? 1 Improved a lot / Ungeongezeka sana 2 Improved a little / Ungeongezeka kidogo 3 Stay the same / Ungekubakia ulivyo 4 Made a little worse / Ungekuwa mbaya kidogo 5 Made much worse / Ungekuwa mbaya zaidi 22

054 TB72703 SMOKELESS TOBACCO -- BRAND CHOICE AND PURCHASE I am now going to ask you about your brand choice and purchase of smokeless tobacco. Do you have a brand/ type of smokeless tobacco product that you usually use? Sasa nitakuuliza kuhusu chaguo lako na ununuaji wa aina ya bidhaa za tumbaku isiyovutwa. Je una aina ya kipekee unayotumia ya bidhaa za tumbaku isiyovutwa? 2 No => Go to 062a/LP666. => Go to 062a/LP666. => Go to 062a/LP666. 055a SL72420 Interviewer Note: Read out product names. Select only ONE. What is the name of your usual smokeless tobacco brand/ type? Ni nini jina la aina ya bidhaa unayonunua ya tumbaku isiyovutwa? 1 Oral snuff / Ugoro wa mdomoni 2 Kuber (chewable tobacco) 3 Plain chewing tobacco / Tumbaku ya kutafuna 4 Nasal snuff / Ugoro wa puani 5 Other (specify below) / Zinginezo (taja hapa chini) 055b SL72420o Other smokeless: Aina zinginezo za tumbaku isiyovutwa: 23

056 TB72709 What is the flavor, if any, of your usual smokeless tobacco brand/ type? Ladha (kama ipo) ya aina ya bidhaa yako ya kwaida ya tumbaku isiyovutwa ni nini? 057 TB72715 Interviewer note: DO NOT read out response options. How long have you been using your usual brand/ type of smokeless tobacco? Umetumia aina hiyo ya bidhaa ya tumbaku isiyovutwa kwa muda gani? 1 Less than 1 year / Chini ya mwaka 1 2 1-5 years / Miaka 1-5 3 More than 5 years / Zidi ya miaka 5 Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. In choosing this brand/ type of smokeless tobacco, was part of your decision based on any of the following? Kwa kuchagua aina ya bidhaa ya tumbaku isiyovutwa, je baadhi ya uamuzi wako ulizingatia yoyote yafuatayo? 2 No 058a TB72723 The price. / Bei 058b TB72721 High quality / Ubora wa hali ya juu 058c TB72725 The taste / Ladha yake 058d TB72729 It is a popular brand/ type / Ni aina ya bidhaa inayojulikana / Inayopendwa na wengi 058e TB72733 My friends use this brand/ type / Marafiki zangu hutumia aina hii 058f TB72735 The design of the pack / Ubunifu wa kifungashio 24

059 TB72710 On average, how often do you use other smokeless tobacco brands/types? Kwa wastani ni mara ngapi umetumia aina zingine za bidha ya tumbaku isiyovutwa? 1 Less than once a week / Chini ya mara moja kwa wiki 2 Once a week / Mara moja kwa wiki 3 Twice a week / Mara mbili kwa wiki 4 3-5 times a week / Mara 3-5 kwa wiki 5 About once a day or almost every day / Kama mara moja kwa siku au kwa ujumla kila siku 6 More than once a day / Zaidi ya mara moja kwa siku 060 RH72611 Do you think that the smokeless brand/ type you usually use might be a little less harmful, no different, or a little more harmful, compared to other brands/ types of smokeless tobacco? Je unafikiri aina ya bidhaa ya tumbaku isiyovutwa unayotumia ina madhara kidogo ya kiafya, haina tofauti, au ina madhara zaidi kidogo ukilinganisha na aina zingine za bidhaa ya tumbaku isiyovutwa? 1 A little less harmful / Ina madhara kidogo 2 No different / Haina tofauti 3 A little more harmful / Ina madhara zaidi kidogo 061 RH72612 Now please tell me whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statement: The brand/ type of smokeless tobacco I usually use is less painful on my throat and chest than other brands/ types of smokeless tobacco. Sasa tafadhali niambie kama unakubali kabisa, unakubali, haukubali wala haukatai, haukubali, au haukubali kabisa kauli ifuatayo: Aina ya tumbaku isiyovutwa ninayotumia kwa kawaida inawasha koo na kifua changu kwa kiasi kidogo kuliko aina zingine za tumbaku isiyovutwa. 1 Strongly agree / Nakubali kabisa 2 Agree / Nakubali 3 Neither agree nor disagree / Sikubali wala sikatai 4 Disagree / Sikubali 5 Strongly disagree / Sikubali kabisa 25

062a LP72666 Interviewer Note: DO NOT read out the response options. Select only ONE response option mentioned by the respondent. Where did you last buy smokeless tobacco for yourself? Je, mara ya mwisho ulinunua bidhaa ya tumbaku isiyovutwa kutoka wapi? 01 Street vendor/ Mchuuzi barabarani 02 Local store/ Dukani 03 Supermarket / Supamaket/Duka kuu 04 Kiosks /Kioski 05 Tea stall /Kibanda cha kuuza chai 06 Bar, entertainment outlets or cafeteria/baa/kilabu,mahali pa burudani, mkahawa 07 Hotel or inn /mkahawa/hotelini 08 Duty-free shop/duka zisizotoza ushuru 09 Outside the country / nje ya nchi/ng ambo 10 Vendor selling from a public transportation vehicle (bus, train or ship)/ Mchuuzi kwenye magari ya kusafirisha umma (mabasi, gari moshi, meli) 11 Tobacco shop /duka la kuuza tumbaku 12 Military store / duka la wanajeshi 13 From a friend, colleague, relative or employer/ rafiki, mwenzangu, jamii au mwajiri 14 The internet/intaneti/mtandao/tuvuti 15 Vending machine/ mashine za kuuza 16 Other (specify below) /mahali kwingine (taja hapo chini) 76 Doesn't remember any details of last purchase/ Hakumbuki mahali aliponunua kwa mara ya mwisho=> Go to 068/PU732. 88 Refused (don't read) 99 Don't Know (don't read) 062b LP72666o Other location / Mahali kwingine: 063 LP72610 Ask if 054/TB703=1. Was this last purchase your usual brand/ type of smokeless tobacco? Je mara hii ya mwisho ulinunua aina yako ya kawaida ya bidhaa ya tumbaku isiyovutwa? => Go to 065a/LP620. 2 No => Go to 065a/LP620. => Go to 065a/LP620. 26

064a LP72612o 064b LP72617 What specific brand/ type of smokeless tobacco did you buy? Uliyonunua ni ipi ya bidhaa ya tumbaku isiyovutwa? What is the flavor, if any, of the brand you purchased last? Ladha (kama ipo) ya aina ya bidhaa uliyoinunua mara ya mwisho, ni ipi? 065a LP72620 The last time you bought smokeless tobacco for yourself, did you buy it by weight, by pouch packs, or by container? Mara ya mwisho ulipojinunulia tumbaku isiyovutwa, je ulinunua aina hiyo kwa kufuata uzito, kifungashio au chombo? 1 Weight / Uzito => Go to 066a/LP632. 2 Pouch packs / Vifungashio => Go to 066b/LP635. 3 Container / chombo => Go to 066c/LP634. 4 Other (specify below) / Vingine (taja hapo chini) => Go to 067/LP641. => Go to 067/LP641. 065b LP72620o 066a LP72632 Other measurement / Vipimo vingine: Go to 066d/LP631. Ask if 065a/LP620=1. Interviewer note: Fill in the appropriate quantity and circle the weight unit used (grams or kg). How much smokeless tobacco did you buy (in grams)? Ulinunua kiasi gani cha tumbaku isiyovutwa? (kwa gramu)? Weight: (grams/ kg) Uzito:.(kwa gramu/kg) 888 999 27

066b LP72635 Ask if 065a/LP620=2. How much smokeless tobacco did you buy (in pouch packs)? Ulinunua kiasi gani cha tumbaku isiyovutwa? (kwa vifungashio)? Number of pouch packs: Nambari ya vifungashio 8 9 066c LP72634 Ask if 065a/LP620=3. How much smokeless tobacco did you buy (in containers)? Ulinunua kiasi gani cha tumbaku isiyovutwa? (kwa chombo)? Number of containers: Nambari ya chombo 8 9 066d LP72631 Ask if 065a/LP620=4. How much smokeless tobacco did you buy? Ulinunua kiasi gani cha tumbaku isiyovutwa? Amount of other measurement: Kiasi cha vipimo vingine: 8 9 067 LP72641 How much did you pay for the total amount of smokeless tobacco you bought? Kwa jumla ulilipia kiasi gani cha pesa kununua tumbaku isiyovutwa? Shillings 888 999 068 PU72732 On average, how much do you spend on smokeless tobacco each month? Kwa wastani, unatumia kiasi gani cha pesa kununua tumbaku isiyovutwa kila mwezi? Shillings 888 999 28

069 LP72688 In the last 6 months, has there been a time when the money you spent on smokeless tobacco resulted in not having enough money for household essentials like food? Kwa miezi 6 iliyopita, je kulikuwa na wakati ambao ulitumia pesa kununua tumbaku isiyovutwa ikasababisha upungufu wa pesa za mahitaji muhimu ya nyumbani kama chakula? 2 No Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. In the last 6 months, have you done anything to save on the amount you spend on smokeless tobacco? Did you Kwa miezi sita iliyopita, umefanya kitu chochote kuokoa kiasi cha fedha unachotumia kwenye tumbaku isiyovutwa? Je, uli 2 No 070a LP72680 Consider quitting using smokeless tobacco? Umefikiria kuacha kutumia tumbaku isiyovutwa? 070b LP72681 Reduce the amount of smokeless tobacco you use? Punguza kiasi cha matumizi ya tumbaku isiyovutwa? 070c LP72685 Purchase a cheaper brand? Nunua aina ya bei nafuu? 070d LP72682 Look for a cheaper source of purchase for your usual brand? Tafuta mahali ambapo aina yako ya tumbaku inayouzwa kwa bei nafuu? 070e LP72683 Purchase in bulk? Nunua kwa wingi? 070f LP72684 Purchase smokeless tobacco from tax-free sources (e.g. duty free shops)? Kununua tumbaku isiyovutwa kutoka kwenye maduka yasiotoza ushuru? 070g LP72686 Other (specify below). Mengineyo (taja hapa chini) 070h LP72686O Other action / Hatua zingine 8 9 29

071 LP72650 Interviewer Note: Ask the respondent to show you a smokeless tobacco pack one he/she is currently using OR currently has at home. Ask permission to take the empty pack with you to the University of Nairobi. Do not pressure respondent if he/she refuses. Indicate whether pack was shown. I need to get information on tax stamps from the smokeless tobacco package -- the smokeless tobacco you are currently using. I would also like to collect your current empty smokeless tobacco package from you. Do you have a package I could look at and also to take away with me? Ninahitaji kupata habari kuhusu mihuri ya ushuru kwenye vifungashio (pakiti) za bidhaa ya tumbaku isiyovutwa unayotumia sasa. Ningependa pia kukusanya vifungashio tupu vya bidhaa ya tumbaku unayotumia. Je, unacho kifungashio (pakiti)chochote ambacho ninaweza kuuangalia na kisha kuondoka nacho?, shown and willing to provide the empty package (Don t read) 2 Yes, shown but not willing to provide the empty package (Don t read) 3 No, not shown (Don t read) => Go to 077/PR810 (SMOKELESS TOBACCO PERCEIVED RISK) => Go to 077/PR810 (SMOKELESS TOBACCO PERCEIVED RISK) => Go to 077/PR810 (SMOKELESS TOBACCO PERCEIVED RISK) 072 LP72655 Interviewer Note: This question is for you. Look at the pack and record whether a tax stamp is visible. Is an official tax stamp visible on the pack? (Don t read), the pack displays a tax stamp (Don t read) 2 Yes, the pack displays a fraction of the tax stamp or minutely visible fragments of a tax stamp (Don t read). 3 No, there is no tax stamp, nor are there any signs to indicate that a stamp was ever present (Don t read) => Go to 074/LP860. 30

073a LP72657 Interviewer Note: This question is for you. The pack displays a tax stamp issued by the Ministry of Finance of which country? (Don t read) 1 Kenya 2 Tanzania 3 Uganda 4 Sudan 5 Somalia 6 Ethiopia 7 No tax stamp / Hakuna muhuri 8 Other (specify below) / Zinginezo (Taja hapo chini) 8 9 073b LP72657o Other country / Nchi zingine 074 LP72860 Interviewer Note: This question is for you. Record whether there is a health warning label on the pack. Is there a health warning label on the pack? (Don t read) 1 No, a health warning label is not visible => Go to 077/PR810(SMOKELESS TOBACCO -- PERCEIVED RISK) 2 Yes, a health warning label is present in a language other than English or Kiswahili => Go to 077/PR810 (SMOKELESS TOBACCO -- PERCEIVED RISK) 3 Yes, a health warning label is present in English or Kiswahili. => Go to 077/PR810(SMOKELESS TOBACCO -- PERCEIVED RISK) => Go to 077/PR810(SMOKELESS TOBACCO -- PERCEIVED RISK) 075 LP72861 Interviewer Note: The purpose of this question is to determine whether the respondent can read the warning label or not. Ask him/ her to read it out loud and record verbatim on the line, but also indicate below whether or not the respondent was able to read the warning. Can you read out the warning message for me? Je unaweza kunisomea ujumbe wa taadhari kwa sauti? 31

076 LP72870 Interviewer Note: Record below whether the respondent was able to read the warning label. 1 Respondent read the warning label quite easily. 2 Respondent read some of the warning label, but with difficulty. 3 Respondent was not able to read the warning label at all. 077 PR72810 SMOKELESS TOBACCO -- PERCEIVED RISK Interviewer Note: A non-user is someone who does not use any of cigarettes, bidis or smokeless tobacco. Let's say that you continue to use smokeless tobacco as much as you do now. How would you compare your own chance of getting mouth cancer in the future to the chance of a non-user? Would you say that you are... Ebu tuseme kwamba bado unaendelea kutumia tumbaku isiyovutwa kama unavyofanya sasa. Unawezaje kulinganisha uwezekano ya kupata kansa ya mdomoni baadaye na uwezekano wa mtu ambaye hatumii? Ungesema 1 Much more likely to get mouth cancer than a non-user /Kuna uwezekano zaidi wa kupata kansa ya mdomoni kuliko yule asiyetumia 2 Somewhat more likely / Kiasi fulani inawezekana 3 A little more likely / Kuna uwezekano kidogo 4 Just as likely / Nafasi zinafanana 5 Less likely / Uwezekano mdogo zaidi 078 PR72851 To what extent, if at all, has using smokeless tobacco damaged your health? Ni kwa kiasi gani, kama ipo, kutumia tumbaku isiyovutwa kumeharibu afya yako? 1 Not at all / Hapana kabisa 2 A little / Kidogo 3 A lot / Sana 32

079 PR72853 How worried are you, if at all, that using smokeless tobacco WILL damage your health in the future? Una wasiwasi kiasi gani (kama unayo) kwamba kutumia tumbaku isiyovutwa, KUTAHARIBU afya yako baadaye? 1 Not at all worried / Sina wasiwasi kabisa 2 A little worried / Nina wasiwasi kidogo 3 Moderately worried / Nina wasiwasi wa wastani 4 Very worried / Nina wasiwasi sana 080 PR72861 To what extent, if at all, has smokeless tobacco lowered your happiness and satisfaction with life? Ni kwa kiasi gani, kama kiko, kutumia tumbaku isiyovutwa kumepunguza furaha yako na utoshelevu wa maisha yako? 1 Not at all / Hakuna kabisa 2 Just a little / Kidogo kiasi 3 A fair amount / Kiasi fulani 4 A great deal / Kiasi kikubwa 081 PR72863 How worried are you, if at all, that using smokeless tobacco WILL lower your happiness and satisfaction with life in the future? Una wasiwasi kiasi gani, kama unayo, kwamba kutumia tumbaku isiyovutwa KUTAPUNGUZA furaha yako na utoshelevu wa maisha yako ya baadaye? 1 Not at all worried /Sina wasiwasi kabisa 2 A little worried /Nina wasiwasi kidogo 3 Moderately worried /Nina wasiwasi wa wastani 4 Very worried /Nina wasiwasi sana 33

082 SB72160 SMOKELESS TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS Do you think smokeless tobacco use is...? Unafikiri kutumia tumbaku isiyovutwa ni? 1 Good for your health /Kuzuri kwa afya yako 2 Neither good nor bad for your health /Si kuzuri wala si kubaya kwa afya yako 3 Not good for your health /Si kuzuri kwa afya yako Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. In the last 30 days, how often, if at all,... Kwa siku thelathini zilizopita, ni mara ngapi umetumia, kama ndivyo? 1 Never / Hapana/kamwe 2 Sometimes /Wakati mwingine 3 Often / Mara nyingi 083a SB72823 Did you think about how much you enjoy using smokeless tobacco? Ulifikiri ni kwa kiasi gani unafurahia kutumia tumbaku isiyovutwa? 083b SB72824 Did you think about the harm your use of smokeless tobacco might be doing to you? Ulifikiri kuhusu madhara unayojipatia kwa kutumia tumbaku isiyovutwa? 083c SB72831 Did you seriously consider quitting? Umewahi kufikiri kwa makini kuacha? 083d SB72825 Did you think about the money you spend on smokeless tobacco? Ulifikiri kuhusu pesa ambazo unatumia kwa tumbaku isiyovutwa? 1 2 3 8 9 1 2 3 8 9 1 2 3 8 9 1 2 3 8 9 34

Interviewer Note: Repeat Does using smokeless tobacco cause before each question. Use the following scale to answer the questions in the table below. Based on what you know or believe, does using smokeless tobacco cause...? Kutokana na unavyofahamu au unavyoamini, je matumizi ya tumbaku isiyovutwa yanasababisha? 2 No 084a KT72723 Mouth cancer? / Kansa ya mdomoni? 084b KT72722 Throat cancer? / Kansa ya koo? 084c KT72711 Heart disease? / Ugonjwa ya moyo? 084d KT72724 Gum disease? / Ugonjwa wa fizi? 084e KT72725 Difficulty to open mouth? / Ugumu wa kufungua mdomo? Interviewer Note: Use the following scale to answer the questions in the table below. Based on what you know or believe, does smokeless tobacco contain... Kutokana na unavyofahamu au unavyoamini, je tumbaku isiyovutwa, ina 2 No 085a KT72791 Nicotine? Nikotini? 085b KT72781 Lead? Risasi (madini)? Interviewer Note: Use the following scale to answer the questions in the table below. Please tell me whether the statements are true or false. Tafadhali niambie kama kauli hizi ni kweli au si kweli 1 True / Kweli 2 False / Si kweli 086a KT72732 The nicotine in smokeless tobacco causes most of the cancer. Nikotini katika tumbaku isiyovutwa husababaisha kiasi kikubwa cha kansa 35

086b KT72733 Nicotine is the main substance in smokeless tobacco that makes people use it. Nikotini ndiyo kemikali kuu inayopatikana kwa wingi kwenye tumbaku isiyovutwa inayofanya watu watake kuitumia. 086c KT72705 The quality of foreign smokeless tobacco is better than that of domestic smokeless tobacco. Tumbaku isiyovutwa ya nchi za nje ni bora kuliko tumbaku inayopatikana nchini. 086d KT72706 Foreign smokeless tobacco does less harm to your health compared to domestic smokeless tobacco. Tumbaku ya nchi za nje husababisha madhara machache kwa afya yako ukilinganisha na tumbaku inayopatikana nchini. SMOKELESS TOBACCO -- PSYCHOSOCIAL BELIEFS Interviewer Note: Use the following scale to answer the questions in the table below. Please tell me whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements about any smokeless tobacco. Tafadhali niambie kama unakubali kabisa, unakubali, haukubali wala haukatai, haukubali, au haukubali kabisa, na kila moja ya kauli zinazofuata kuhusu kila tumbaku isiyovutwa. 1 Strongly agree / Nakubali kabisa 2 Agree / Nakubali 3 Neither agree nor disagree / Sikubali wala sikatai 4 Disagree / Sikubali 5 Strongly disagree / Sikubali kabisa 087a OT72501 It is acceptable for females to use smokeless tobacco. Inakubalika kwa wanawake kutumia tumbaku isiyovutwa 087b OT72510 Smokeless tobacco is addictive. Tumbaku isiyovutwa inamtawala mtumiaji/ kunamfanya mtu kuwa mtumwa. 087c OT72521 If you had a chance to live your life again, you would not have started using smokeless tobacco. Kama ungepata nafasi ya kuishi maisha yako tena, usingeanza kutumia tumbaku isiyovutwa 087d OT72526 You spend too much money on smokeless tobacco. Unatumia fedha nyingi kwa tumbaku isiyovutwa 087e OT72531 People who are important to you believe that you should not use smokeless tobacco. Watu ambao ni muhimu kwako wanaamini kuwa 1 2 3 4 5 8 9 1 2 3 4 5 8 9 1 2 3 4 5 8 9 1 2 3 4 5 8 9 1 2 3 4 5 8 9 36