Cigarette
Use :
- Indicate
the current level of tobacco cigarette use by the individual. This refers
to any and all types of tobacco cigarettes, including menthol cigarettes,
bidis (thinner than regular cigarettes and flavored like candy), clove
cigarettes (kreteks), or other flavored tobacco cigarettes. All tobacco
products contain nicotine and other harmful substances, and cannot be
considered safe in any amount or form.
- The term
"Former smoker" includes any amount of past
smoking. If the patient used to smoke two packs a day but quit, or if
the patient has smoked five cigarettes in the past decade, both are
considered "former smokers."
- If the
patient is a former or current smoker (answers b,c, or d), a field will
appear on the right of the question asking the "Age Began Smoking
Cigarettes." In that box, enter the numerical age (e.g., 21) at
which the patient began smoking. This number must be a whole number
and greater than zero (0).
- If the
patient is a former smoker, a second field will appear under that asking
"Year Quit;" enter the year in YYYY format (e.g., 1997) that
the patient quit smoking.
Cigar
or Pipe Use:
Indicate
the level of cigar or pipe use by the individual. All tobacco products
contain nicotine and other harmful substances, and cannot be considered
safe in any amount or form, so any and all types of tobacco and pipes
(for example, a hookah) should be considered.
The
term "Former smoker" includes any amount
of past smoking. If the patient used to smoke five cigars a day but
quit, or if the patient has smoked three cigars in the past decade,
both are considered "former smokers."
If
the patient is a former or current smoker (answers b,c, or d), a field
will appear on the right of the question asking the "Age Began
Smoking Cigars." In that box, enter the numerical age (e.g., 21)
at which the patient began smoking cigars or pipes. This number must
be a whole number and greater than zero (0).
If
the patient is a former smoker, a second field will appear under that
asking "Year Quit;" enter the year in YYYY format (e.g., 1997)
that the patient quit smoking cigars or pipes.
Smokeless
Tobacco Use:
Indicate
the level of smokeless tobacco use by the individual. The term "Former
user" includes any amount of past smokeless tobacco
use. If the patient used to chew a can a day but quit, or if the patient
has chewed three times in the past decade and quit, both are considered
"former users."
If the patient is a former or current user (answers b,c, or d), a field
will appear on the right of the question asking the "Age Began
Using Smokeless Tobacco." In that box, enter the numerical age
(e.g., 21) at which the patient began using smokeless tobacco. This
number must be a whole number and greater than zero (0).
If the patient is a former user, a second field will appear under that
asking "Year Quit;" enter the year in YYYY format (e.g., 1997)
that the patient quit using smokeless tobacco.
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