Kenya W1 Non-user Survey Code: KE1-N Languages: English, Kiswahili Mode: Face to Face Interview

Kenya W1 Non-user Survey Code: KE1-N Languages: English, Kiswahili Mode: Face to Face Interview i

TABLE OF CONTENTS SMOKELESS TOBACCO -- PAST & PRESENT FREQUENCY 003 SMOKELESS TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS AND TOBACCO CONSTITUENTS 005 SMOKELESS TOBACCO -- PSYCHOSOCIAL BELIEFS 009 SMOKELESS TOBACCO -- WARNING LABELS 010 OTHER SMOKED TOBACCO -- PAST & PRESENT FREQUENCY 017 CIGARETTES -- PAST AND PRESENT FREQUENCY 018 CIGARETTES -- LIGHT/MILD 019 CIGARETTES -- PSYCHOSOCIAL BELIEFS 020 CIGARETTES -- WARNING LABELS 021 BIDIS -- PAST & PRESENT FREQUENCY 028 BIDIS -- PSYCHOSOCIAL BELIEFS 029 BIDIS -- WARNING LABELS 030 SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS 037 SMOKED TOBACCO -- PSYCHOSOCIAL BELIEFS 044 ENVIRONMENTAL TOBACCO SMOKE 046 ANTI-TOBACCO CAMPAIGNS 070 TOBACCO PROMOTION 073 TOBACCO INDUSTRY 083 MODERATORS 088 DEMOGRAPHICS 104 SURVEY CLOSING 113 ii

Kenya W1 Non-user Q# VarName KE1-N 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 SMOKELESS TOBACCO -- PAST & PRESENT FREQUENCY 003 SL72500 I would like to begin by asking you about smokeless tobacco use. Have you ever used any smokeless tobacco products? These are products that are not burned or smoked, but instead are usually put in the mouth or are sniffed? Some examples are oral snuff (Mbaki, Tomoto, Ogoro), nasal snuff, Kuber (Aseem or Miraj), and plain chewing tobacco. If response=2, 8 or 9, go to 005/SB160. 004a TF72620 Interviewer Note: Use the following scale to answer the questions in the table below. Tell me if you currently use, have used in the past, or have never used each of the following products? Oral snuff (Mbaki, Tomoto, Ogoro) 2 Currently use less than once a month 3 Used in the past but have since stopped 4 Have never used 004b TF72621 Kuber (Aseem or Miraj) 004c TF72622 Plain chewing tobacco 004d TF72623 Nasal snuff. 004e TF72505 Other smokeless tobacco products (specify below). 004f TF72505o Write names of other smokeless products used (maximum 3): 1. 2. 3. 3

SMOKELESS TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS AND TOBACCO CONSTITUENTS 005 SB72160 Do you think smokeless tobacco use is...? 1 Good for health 2 Neither good nor bad for health 3 Not good for health 006a KT72723 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...? Mouth cancer? 006b KT72722 Throat cancer? 006c KT72711 Heart disease? 006d KT72724 Gum disease? 006e KT72725 Difficulty to open mouth? 007a KT72791 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... Nicotine? 007b KT72790 KT72781) Lead? 008a 008b KT72782 KT72732) KT72783 KT72733) Interviewer Note: Use the following scale to answer the questions in the table below. Please tell me whether the statements are true or false. The nicotine in smokeless tobacco causes most of the cancer. 1 True 2 False Nicotine is the main substance in smokeless tobacco that makes people use it. 4

008c KT72705 The quality of foreign smokeless tobacco is better than that of domestic smokeless tobacco. 008d KT72706 Foreign smokeless tobacco does less harm to your health compared to domestic smokeless tobacco. SMOKELESS TOBACCO -- PSYCHOSOCIAL BELIEFS 009a OT72501 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 products. It is acceptable for females to use smokeless tobacco. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 009b OT72510 Smokeless tobacco is addictive. 009c OT72561 Society disapproves of smokeless tobacco use. 009d OT72566 The medical evidence that using smokeless tobacco is harmful is exaggerated. 009e OT72575 Using smokeless tobacco is no more risky than lots of other things that people do. SMOKELESS TOBACCO -- WARNING LABELS 010 WT72800 Thinking now about the packages for smokeless tobacco products (paste, sachets, packs, tins, bottles)... As far as you know, do any smokeless tobacco packages in Kenya have warning labels? If response=2, 8 or 9, go to 017a/TF103 (OTHER SMOKED TOBACCO PAST & PRESENT FREQUENCY). 011 WT72802 In the last 30 days, how often, if at all, have you NOTICED warning labels on smokeless tobacco packages? 1 Never 2 Once in a while 3 Often 012 WT72832 Do you think that smokeless tobacco packages should have more health information than they do now, less information, or about the same amount as they do now? 1 Less health information 2 About the same 3 More health information 5

013 WT72846 How realistic do you think the warning labels on smokeless tobacco packages are? 1 Not at all realistic 2 A little realistic 3 Somewhat realistic 4 Very realistic 5 Extremely realistic 014 WT72845 Interviewer note: Show manikin flashcard 1. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the warning labels on smokeless tobacco packages make you feel? Do they make you... 1 Very alarmed 2 Somewhat alarmed 3 Neither alarmed nor calm 4 Somewhat calm 5 Very calm 015 WT72844 Interviewer note: Show manikin flashcard 2. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the warning labels on smokeless tobacco packages make you feel? Are the feelings... 1 Very unpleasant 2 Somewhat unpleasant 3 Neither unpleasant nor pleasant 4 Somewhat pleasant 5 Very pleasant 016 WT72847 How do the smokeless tobacco health warnings make you feel? Do they make you... 1 Extremely worried 2 Very worried 3 Somewhat worried 4 A little worried 5 Not worried at all OTHER SMOKED TOBACCO -- PAST & PRESENT FREQUENCY 017a TF72103 Interviewer Note: Use the following scale to answer the questions in the table below. 6

Now I will ask 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? Hookah or Water pipe. 1 Currently smoke at least once a month 2 Currently smoke less than once a month 3 Smoked in the past but have since stopped 4 Have never smoked 017b TF72106 Hooklis 017c TF72107 Chutta 017d ST72777 Pipe. 017e ST72773 Cigars. 017f ST72774 E-cigarettes. 017g TF72102 Kreteks. 017h TF72104 Cheroots. 017i ST72772 Cigarillos. 017j TF72105 Other smoked tobacco product (specify below) 017k TF72105o Other smoked tobacco product: CIGARETTES -- PAST AND PRESENT FREQUENCY 018 FR72510 Tell me if you currently smoke, have smoked in the past, or have never smoked cigarettes? 2 Currently smoke less than once a month 3 Smoked in the past but have since stopped 4 Have never smoked CIGARETTES -- LIGHT/MILD 019a LM72321 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. Light cigarettes are less harmful than regular cigarettes. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 7

5 Strongly disagree 019b LM72331 Light cigarettes are smoother on your throat and chest than regular cigarettes. CIGARETTES -- PSYCHOSOCIAL BELIEFS 020a PS72244 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. Smoking cigarettes is a sign of sophistication. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 020b PS72325 It is acceptable for females to smoke cigarettes. CIGARETTES -- WARNING LABELS 021 WL72101 Thinking now about the packages for cigarettes... As far as you know, do any cigarette packages in Kenya have warning labels? If response=2, 8 or 9, go to 028/TF024 (BIDIS PAST & PRESENT FREQUENCY). 022 WL72201 In the last 30 days, how often, if at all, have you NOTICED warning labels on cigarette packages? 1 Never 2 Once in a while 3 Often 023 WL72507 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? 1 Less health information 2 About the same 3 More health information 8

024 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... 1 Very alarmed 2 Somewhat alarmed 3 Neither alarmed nor calm 4 Somewhat calm 5 Very calm 025 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... 1 Very unpleasant 2 Somewhat unpleasant 3 Neither unpleasant nor pleasant 4 Somewhat pleasant 5 Very pleasant 026 WL72426 How realistic do you think the cigarette health warnings are? 1 Not at all realistic 2 A little realistic 3 Somewhat realistic 4 Very realistic 5 Extremely realistic 027 WL72427 How do the cigarette health warnings make you feel? Do they make you... 1 Extremely worried 2 Very worried 3 Somewhat worried 4 A little worried 5 Not worried at all BIDIS -- PAST & PRESENT FREQUENCY 028 TF72024 Tell me if you currently smoke, have smoked in the past, or have never smoked bidis? 2 Currently smoke less than once a month 9

3 Smoked in the past but have since stopped 4 Have never smoked If response=8 or 9, go to 037/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) BIDIS -- PSYCHOSOCIAL BELIEFS 029 OT72101 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. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree BIDIS -- WARNING LABELS 030 WT72300 Thinking now about the packages for bidis. As far as you know, do any bidi packages in Kenya have warning labels? If response=2, 8, or 9, Go to 037/SB150 (SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS) 031 WT72302 In the last 30 days, how often, if at all, have you NOTICED warning labels on bidi packages? 1 Never 2 Once in a while 3 Often 032 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? 1 Less health information 2 About the same 3 More health information 10

033 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... 1 Very alarmed 2 Somewhat alarmed 3 Neither alarmed nor calm 4 Somewhat calm 5 Very calm 034 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 bidi health warnings make you feel? Are the feelings... 1 Very unpleasant 2 Somewhat unpleasant 3 Neither unpleasant nor pleasant 4 Somewhat pleasant 5 Very pleasant 035 WT72346 How realistic do you think the warning labels on bidis packages are? 1 Not at all realistic 2 A little realistic 3 Somewhat realistic 4 Very realistic 5 Extremely realistic 036 WT72347 How do the bidi health warnings make you feel? Do they make you... 1 Extremely worried 2 Very worried 3 Somewhat worried 4 A little worried 5 Not worried at all SMOKED TOBACCO -- KNOWLEDGE OF HEALTH EFFECTS & TOBACCO CONSTITUENTS 037 SB72150 The next series of questions are about both cigarettes and bidis Do you think smoking is...? 11

1 Good for health 2 Neither good nor bad for health 3 Not good for health 038a KT72412 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...? Stroke? 038b KT72451 Impotence in male smokers? 038c KT72423 Mouth cancer? 038d KT72422 Throat cancer? 038e KT72421 Lung cancer in smokers? 038f KT72411 Heart disease? 038g KT72434 Chronic obstructive pulmonary disease (COPD)? (blocked lungs, causing shortness of breath) KT72425) 038h KT72431 Tuberculosis? 039a KT72460 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...? Lung cancer in non-smokers? 039b KT72450 Heart disease? 039c KT72477 Asthma in children? 040a KN72342 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... Nicotine? 12

040b KN72341 Carbon monoxide? 041a KT72291 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... Nicotine? 041b KT72292 Carbon monoxide? 042a 042b KT72482 KT72332) KT72483 KT72333) Interviewer Note: Use the following scale to answer the questions in the table below. Please tell me whether the statements are true or false. The nicotine in cigarettes and bidis causes most of the cancer. 1 True 2 False Nicotine is the main substance in cigarettes and bidis that makes people smoke. 043 KN72434 Are hand-rolled cigarettes more or less harmful than factory-made cigarettes, or are they equally harmful to health? 1 Hand-rolled are more harmful 2 Equally harmful 3 Hand-rolled are less harmful SMOKED TOBACCO -- PSYCHOSOCIAL BELIEFS 044a OT72310 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. Smoking is addictive. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 13

044b OT72361 Society disapproves of smoking. 044c OT72366 The medical evidence that smoking is harmful is exaggerated. 044d OT72375 Smoking is no more risky than lots of other things that people do. 044e PS72113 The harsher (stronger) the tobacco smoke feels in your throat, the more harmful the smoke is likely to be. 045 HG72003 Interviewer Note: Say this to respondent Thank you for taking the time to answer these questions. We appreciate your cooperation. ENVIRONMENTAL TOBACCO SMOKE 046 TP72310 Which of the following best describes smoking inside your home? 1 Smoking is not allowed in any indoor room inside home 2 Smoking is allowed only in some rooms inside home 3 No rules or restrictions If response=1, go to 048/TP326. 047 TP72312 How often does anyone smoke inside your home? Would you say daily, weekly, monthly, less than monthly, or never? 1 Daily 2 Weekly 3 Monthly 4 Less than monthly 5 Never 048 TP72326 Compared to a year ago, do PEOPLE now smoke less inside your home, more inside your home, or about the same amount? 1 Smoke less inside the home 2 Smoke about the same 3 Smoke more inside the home 4 Smoking was not, and is not, allowed inside the home 049 TP72342 How concerned are you that the health of the children in your household, those aged 14 and below, will be hurt if people smoke in their presence? 1 Not concerned 2 A little concerned 3 Moderately concerned 4 Very concerned 14

5 Extremely concerned 6 No children in my household 7 People do not smoke in the presence of the children in my household 050 TP72510 Which of the following best describes the rules about smoking in the restaurants that you go to? 1 Smoking is not allowed in any indoor areas 2 Smoking is allowed only in some indoor areas 3 No rules or restrictions 4 Don't go to these places (Don't read) If response=4, go to 053/TP610. 051 TP72530 The last time you visited, were people smoking inside the restaurant? 052 ET72841 Compared to a year ago, do you now visit restaurants more often, less often, or the same amount? 1 More often 2 Less often 3 Same amount 4 Don't visit restaurants now and/ or didn't visit restaurants a year ago 053 TP72610 Which of the following best describes the rules about smoking in the bars that you go to? 1 Smoking is not allowed in any indoor areas 2 Smoking is allowed only in some indoor areas 3 No rules or restrictions 4 Don't go to these places (Don't read) If response=4, go to 056/TP710. 054 TP72630 The last time you visited, were people smoking inside the bar? 055 ET72812 Compared to a year ago, do you now visit bars more often, less often, or the same amount? 1 More often 2 Less often 15

3 Same amount 4 Don't visit bars now and/ or didn't visit bars a year ago 056 TP72710 Which of the following best describes the rules about smoking inside public transportation vehicles, such as buses, ferries, trains, and matatus? 1 Smoking is not allowed in any public transportation vehicles 2 Smoking is allowed only in some public transportation vehicles 3 No rules or restrictions 4 Don't use public transportation If response=4, go to 058/ET670. 057 TP72730 The last time you rode on public transportation, were people smoking inside the bus, ferry, train, or matatu? 058 ET72670 Which of the following best describes the rules about smoking inside hospitals in your local area? 1 Smoking is not allowed in any indoor area 2 Smoking is allowed only in designated indoor areas 3 No rules or restrictions 4 Have not visited a hospital (Don t read) If response=4, go to 061/ET601. 059 ET72657 The last time you visited a hospital in your local area, were people smoking inside the hospital? 060 ET72659 The last time you visited a hospital in your local area, could you smell cigarette smoke or see cigarette butts in the indoor areas of the hospital? 061 ET72601 Are you currently employed? (This includes any occupation for which you earn income including self-employment and/or farming) 16

If response=2, 8 or 9, go to 067a/TP901. 062 ET72613 How many days a week do you work? 063 ET72612 How many hours do you work on an average day? 8 9 064 ET72603 Do you usually work inside or outside a building? 1 Inside 2 Outside 3 Both inside and outside a building (Don't read) If response=2, 8 or 9, go to 067a/TP901. 065 TP72810 Which of the following best describes the smoking policy where you work? 1 Smoking is not allowed in any indoor area 2 Smoking is allowed only in some indoor areas 3 No rules or restrictions 066 TP72830 In the last 30 days, have people smoked in indoor areas where you work? 067a TP72901 Interviewer Note: Repeat the question if necessary. Use the following scale to answer the questions in the table below. For each of the following public places, please tell me if you think smoking should not be allowed in any indoor areas, should be allowed only in some indoor areas, or no rules or restrictions. Hospitals. 1 Smoking should not be allowed in any indoor areas 2 Smoking should be allowed only in some indoor areas 3 No rules or restrictions 17

067b TP72915 Workplaces. 067c TP72902 Restaurants. 067d TP72907 Bars. 067e TP72911 Public transportation vehicles. 067f TP72921 Schools, Colleges, or Universities. 068 TP72905 And now thinking about the OUTDOOR eating and drinking areas of restaurants and tea stalls -- Do you think that smoking should be allowed in all outdoor eating areas, in some outdoor eating areas, or not allowed in outdoor eating areas at all? 1 All outdoor eating areas 2 Some outdoor eating areas 3 No outdoor eating areas at all 069 TP72909 And now thinking about the OUTDOOR areas of drinking establishments such as pubs and bars -- do you think that smoking should be allowed in all outdoor areas, in some outdoor areas, or not allowed in outdoor areas at all? 1 All outdoor areas 2 Some outdoor areas 3 No outdoor areas at all ANTI-TOBACCO CAMPAIGNS 070a AC72911 Interviewer Note: Repeat question if necessary. Use the following scale to answer the questions in the table below. In the last 6 months, have you noticed advertising or information that talks about the dangers of tobacco, or encourages quitting, in any of the following places? This includes both smoked and smokeless types of tobacco. Television 070b AC72916 Radio. 070c AC72921 Cinema halls. 070d AC72931 Newspapers or magazines. 070e AC72914 The workplace. 070f AC72917 Public transportation vehicles or stations e.g. buses, launches, trains, ferries terminals or matatus. 070g AC72918 Restaurants or tea stalls. 070h AC72910 Bars. 18

070i AC72920 Tobacco packages. 071 AC72973 Ask if any of the responses to 070a/AC911 to 070i/AC920=1. Has this anti-tobacco advertising made using tobacco less socially acceptable? 1 No, not at all 2 Yes, a little 3 Yes, a lot 072a GT72225 Interviewer Note: Repeat question if necessary. Use the following scale to answer the questions in the table below. The next two questions are about cigarettes specifically and NOT tobacco in general. In the last 30 days, have you noticed information about the dangers of smoking cigarettes or that encourages quitting in newspapers or in magazines? 072b GT72206 In the last 30 days, have you noticed information about the dangers of smoking cigarettes or that encourages quitting on television? TOBACCO PROMOTION 073 TA72901 Interviewer Note: It doesn't have to be advertising. It can be anything promoting tobacco use. In the last 6 MONTHS, how often have you noticed things that are designed to encourage tobacco use or which make you think about using tobacco? (Things like advertisements for tobacco products and pictures of their use). 1 Never 2 Once 3 Once in a while 4 Often 074a 074b TA72905 TA72805) TA72907 TA72807) Interviewer Note: Repeat question if necessary. Use the following scale to answer the questions in the table below. In the last 6 months, have you noticed tobacco products being advertised in any of the following places? Television Radio. 074c TA72929 Newspapers or magazines. 19

074d 074e 074f 074g 074h 074i 075a 075b 076a 076b TA72829) TA72920 TA72820) TA72924 TA72824) TA72941 TA72841) TA72947 TA72847) TA72953 TA72853) TA72960 TA72860) TA72965 TA72865) TA72975 TA72875) TA72985 TA72885) TA72994 TA72894) Cinema halls. On shop windows or inside shops. Public transportation vehicles or stations e.g. buses, launches, trains, ferries terminals or matatus. Restaurants or tea stalls. Bars. Schools, Colleges, or Universities. Interviewer Note: Repeat question if necessary. Use the following scale to answer the questions in the table below. In the last 6 months, have you seen or heard about Any sport or sporting event that is sponsored by or connected with tobacco brands? Music (e.g., band show), theatre, art, religious events or fashion events that are sponsored by or connected with tobacco brands? Interviewer Note: Repeat question if necessary. Use the following scale to answer the questions in the table below. In the last 6 months, have you noticed any of the following types of tobacco promotion? Free samples of tobacco products. Free gifts or special discount offers on other products when buying tobacco products. 076c TA72995 Tobacco products at sale prices. 20

076d TA72996 Coupons for tobacco products. 076e TA72935 Clothing or other items with a tobacco product brand or logo. TA72835) 076f TA72998 Competitions linked to tobacco products. TA72898) 076g TA72902 Election campaign sponsored by tobacco companies. 077 TA72982 TA72905) Now thinking about the entertainment media, like movies, TV programs, and magazines... In the last 6 months, about how often have you seen people using tobacco in the entertainment media? 1 Never 2 Once in a while 3 Often 078 TA72915 Do you support complete bans on ALL tobacco advertisements at shops and stores? Would you say 1 Not at all 2 Somewhat 3 A lot 079 TA72921 Do you support complete bans on displays of ALL tobacco products? Would you say 1 Not at all 2 Somewhat 3 A lot 080 GT72231 The following six questions are about cigarettes specifically and NOT tobacco in general. In the last 30 days, have you noticed any advertisements or signs promoting cigarettes in stores where cigarettes are sold? 081a GT72401 Interviewer Note: Repeat question if necessary. Use the following scale to answer the questions in the table below. In the last 30 days, have you noticed any of the following types of cigarette promotions? Free samples of cigarettes? 21

081b GT72411 Cigarettes at sale prices? 081c GT72416 Coupons for cigarettes? 081d GT72421 Free gifts or special discount offers on other products when buying cigarettes? 081e GT72501 Clothing or other items with a cigarette brand name or logo? 082 HG72004 Interviewer Note: Say this to respondent We have a few more sections. Thank you for staying in this survey. The information you are providing is very valuable and important. TOBACCO INDUSTRY 083a TI72925 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 tobacco companies. Tobacco companies do good things for society. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 083b TI72913 Tobacco products should be more tightly regulated. 083c TI72920 Tobacco companies should be required to sell tobacco products in plain packages but keeping the warning labels-- that is, in packs without any brand names or fancy designs. 083d TI72917 Tobacco companies should take responsibility for the harm caused by using tobacco. 083e TI72912 The government should do more to tackle the harm done by using tobacco. 084 PU72680 Do you think that the government should increase the tax on cigarettes? 085 PU72681 Do you think that the government should increase the tax on bidis? 086 PU72682 Do you think that the government should increase the tax on smokeless tobacco? 22

087 CH72879 Would you support or oppose a total ban on tobacco products within 10 years, if the government provided assistance such as cessation clinics to help smokers quit? 1 Strongly support 2 Support 3 Oppose 4 Strongly oppose MODERATORS 088 PR72101 How would you describe your health? Is it... 1 Poor 2 Average 3 Good 4 Excellent 089a DI72421 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. Before you make a decision, you like to talk to close friends and get their ideas. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 089b DI72422 You would give up an activity you really enjoy if your family did not approve. 089c DI72424 It annoys you when other people do better than you at something. 089d DI72423 You enjoy being different from others. 089e DI72211 You spend a lot of time thinking about how what you do today will affect your life in the future. 090 DI72311 How often in the last 6 months have you felt that you were unable to control the important things in your life? Would you say... 1 Never 2 Almost never 3 Sometimes 4 Often 5 Very often 23

091 DI72326 How often in the last 6 months have you felt difficulties were piling up so high that you could not overcome them? 1 Never 2 Almost never 3 Sometimes 4 Often 5 Very often 092 DI72503 During the last 30 days, have you often been bothered by little interest or little pleasure in doing things? 093a DI72441 Interviewer Note: Use the following scale to answer the questions in the table below. Below is a list of ways that you might have felt or behaved. Please tell me how often you have felt this way during the past week. I did not feel like eating; my appetite was poor. 1 Rarely or none of the time (less than 1 day) 2 Some or a little of the time (1-2 days) 3 Occasionally or a moderate amount of time (3-4 days) 4 Most or all of the time (5-7 days) 093b DI72442 I felt hopeful about the future. 093c DI72443 I felt sad. 093d DI72444 I felt that people dislike me. 094a DI72280 Interviewer Note: Record number between 0 and 5. Of the five closest friends or acquaintances that you spend time with on a regular basis, how many of them smoke? If response=8 or 9, go to 095a/DI290. 094b DI72281 Ask if 094a/DI280>0. Interviewer Note: Record a number that is smaller than or equal to above answer. In the last 12 months, how many of them have talked about wanting to quit smoking? 095a DI72290 Of the five closest friends or acquaintances that you spend time with on a regular basis, how many of them use smokeless tobacco? 24

If response=8 or 9, go to 096a/DI264. 095b DI72291 Ask if 095a/DI290>0. In the last 12 months, how many of them have talked about wanting to quit using smokeless tobacco? 096a DI72264 Interviewer Note: Use the following scale to answer the questions in the table below. Does your father use smokeless tobacco OR did he ever use smokeless tobacco? 096b DI72266 Does your mother use smokeless tobacco OR did she ever use smokeless tobacco? 096c DI72265 Do EITHER of your grandfathers (paternal or maternal) use smokeless tobacco OR did EITHER of them ever use smokeless tobacco? 096d DI72267 Do EITHER of your grandmothers (paternal or maternal) use smokeless tobacco OR did EITHER of them ever use smokeless tobacco? 097a DI72260 Interviewer Note: Use the following scale to answer the questions in the table below. Does your father smoke OR did he ever smoke? 097b DI72262 Does your mother smoke OR did she ever smoke? 097c DI72261 Do EITHER of your grandfathers (paternal or maternal) smoke OR did EITHER of them ever smoke? 097d DI72263 Do EITHER of your grandmothers (paternal or maternal) smoke or did EITHER of them ever smoke? 098 SL72301 Compared to smoking cigarettes, do you think using smokeless tobacco is less harmful, more harmful, or no different for health? 1 Smokeless tobacco less harmful than cigarettes 2 Smokeless tobacco more harmful than cigarettes 3 No difference 099 ST72752 Compared to smoking cigarettes, do you think bidis are less harmful, more harmful, or no different for health? 1 Bidis less harmful than cigarettes 2 Bidis more harmful than cigarettes 3 No difference 25

100 SL72303 Compared to smoking bidis, do you think smokeless tobacco is less harmful, more harmful or no different for health? 1 Smokeless tobacco less harmful than bidis 2 Smokeless tobacco more harmful than bidis 3 No difference 101 DI72301 What is your overall opinion about smoking cigarettes? 1 Very good 2 Good 3 Neither good nor bad 4 Bad 5 Very bad 102 DI72307 What is your overall opinion about smoking bidis? 1 Very good 2 Good 3 Neither good nor bad 4 Bad 5 Very bad 103 DI72305 What is your overall opinion about using smokeless tobacco? 1 Very good 2 Good 3 Neither good nor bad 4 Bad 5 Very bad 104 DE72650 How many languages do you speak? 1 One 2 Two 3 Three 4 Four or more 105a DE72651 What language do you most commonly speak? DEMOGRAPHICS 26

01 English 02 Kiswahili 03 Kikuyu 04 Luo 05 Kalenjin 06 Luhya 07 Kamba 08 Kisii 09 Mijikenda 10 Meru 11 Embu 12 Somali 13 Turkana 14 Other (specify below) 8 9 105b DE72651o Other language 106a DE72657 Ask if 104/DE650=2, 3 or 4. What is the second most common language you speak? 01 English 02 Kiswahili 03 Kikuyu 04 Luo 05 Kalenjin 06 Luhya 07 Kamba 08 Kisii 09 Mijikenda 10 Meru 11 Embu 12 Somali 13 Turkana 14 Other (specify below) 15 None - I do not speak a second language. 8 9 106b DE72657o Other language 27

107a DE72658 Ask if 104/DE650=3 or 4. What is the third most common language you speak? 01 English 02 Kiswahili 03 Kikuyu 04 Luo 05 Kalenjin 06 Luhya 07 Kamba 08 Kisii 09 Mijikenda 10 Meru 11 Embu 12 Somali 13 Turkana 14 Other (specify below) 15 None - I do not speak a third language. 8 9 107b DE72658o Other language 108 DE72111 Interviewer note: DO NOT read out response options. What is your marital status? 1 Married or living together 2 Divorced or separated 3 Widowed 4 Single If response=2, 3, 4, 8 or 9, go to 110a/DE662. 109 DI72244 Does your spouse or partner currently smoke or use smokeless tobacco? 1 He/she does not use any tobacco at all 2 He/she uses smokeless tobacco only 3 He/she smokes only 4 He/she smokes AND uses smokeless tobacco 110a DE72662 Interviewer note: DO NOT read out response options. 28

What is your religion? 1 Roman Catholic 2 Protestant/Other Christian 3 Muslim 4 Hindu 5 Buddhist 6 No Religion 7 Other (specify below) 110b DE72662o Other religion: 111 DE72311 Interviewer note: DO NOT read out response options. What is your highest level of education? 01 Illiterate 02 Nursery/Kindergarten 03 Primary 04 Post-Primary/Vocational 05 Secondary School 06 Certificate 07 College/Diploma 08 University (Graduate/ BA/ BSc etc.) 09 Post Graduate (i.e., Masters degree)/ Professional Degree 10 Above Post Graduate degree (i.e. PhD) 8 9 112a DE72236 Interviewer note: DO NOT read out response options. What is your primary occupation? 01 Managers, executives 02 Professionals 03 Administrative 04 Technicians and associate professionals 05 Clerical support workers 06 Service and sales workers 07 Skilled agricultural (non-tobacco), forestry and fishery workers 08 Tobacco Farmer 09 Craft and related trades workers 10 Plant and machine operators, and assemblers 11 Elementary occupations 12 Unemployed pensioner or student 13 Domestic duties (e.g., house boy/girl/maid) 14 Home makers 29

15 Small business or traders 16 Other (Specify below) 8 9 112b DE72236o Other occupation: 113 AI72101 Interviewer Note: Read to respondents. Thank you for your time and cooperation. SURVEY CLOSING We hope that we will be able to talk to you again in our follow-up survey in one to two years. 114 AI72543 Interviewer Note: This question is for you. Interviewers' overall judgment about the interview. 1 Reliable 2 Somewhat reliable 3 With some errors 4 With a lot of errors 115a AI72540 Interviewer Note: This question is for you. If you used a mixture of languages, record all that were used in the space provided for Other. What language was this interview conducted in? 1 English 2 Kiswahili 3 Both English and Kiswahili 4 Other (specify below) 115b AI72540o Other languages: 30

Appendix VarName Changes New Name Old Name Date Survey Changed By Authorization Reasoning Source KT72783 KT72733 12-Jan-2015 KE1-N Ruth L Anne Q. Part of a clean-up of varnames with KT prefix, to make the assignment of varnames more consistent. KT72482 KT72332 12-Jan-2015 KE1-N Ruth L Anne Q Part of a clean-up of varnames with KT prefix, to make the assignment of varnames more consistent. KT72782 KT72732 13-Jan-2015 KE1-N Ruth L Anne Q Part of a clean-up of varnames with KT prefix, to make the assignment of varnames more consistent. KT72434 KT72425 13-Jan-2015 KE1-N Ruth L Anne Q Part of a clean-up of varnames with KT prefix, to make the assignment of varnames more consistent. KT72483 KT72333 13-Jan-2015 KE1-N Ruth L Anne Q. Part of a clean-up of varnames with KT prefix, to make the assignment of varnames more consistent. KT72790 KT72781 13-Jan-2015 KE1-N Ruth L Anne Q Part of a clean-up of varnames with KT prefix, to make the assignment of varnames more consistent. TA72960 TA72860 30-Jan-2015 KE1-N Shelly J Ruth L. VarName changed to make IN and KE consistent with all of the other surveys that use these questions. TA72982 TA72905 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match all of the other countries. The previous VarName was only used in KE. TA72905 TA72805 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72907 TA72807 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72920 TA72820 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72924 TA72824 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72929 TA72829 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72935 TA72835 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72941 TA72841 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72947 TA72847 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. 31

TA72953 TA72853 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72965 TA72865 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72975 TA72875 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72985 TA72885 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72994 TA72894 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. TA72998 TA72898 30-Jan-2015 KE1-N Shelly J Ruth L. VarName was changed to match the rest of the countries. The original VarName was only used in KE. 32