抽烟调查问卷 英文版
Questionnaire on Smoking among Students at Zhengzhou University in 2013 Dear students:
Thank you for your participation in this survey! This questionnaire aims to learn about students’
attitudes toward university students’ smoking. The information you fill in will only be used in our research. We will not disclose any of your personal information, please fill in according to the
actual situation. Thanks again for your sincere cooperation and assistance!
1. Do you smoke or not? ( ) Dual alternative
A yes B no
2. How do you look on the phenomenon of university students’ smoking? ( )
A normal
B informal
C a sign of the progress of society, but don’t support student smoking
D it does not matter
3. How many smoking students are there around you? ( )
A none B only a few
C a little more than a dozen D many, almost all of them
4. What do you think of the smoking students? ( ) Single multiple choice
A very fashion B having the individuality
C rebellious D bad student E looks good
5. What do you think is the main reason that causes student smoking? ( ) Multiple choice
A the influence from families, friends and classmates
B just out of curiosity and mimicry
C for releasing the pressure of study and life
D for soothing the mental wound caused by negative emotions or frustration E just filling the boring hours
6. Which of the following harms of smoking do you know? ( )
A The effect that cause cancer
B Smoking is main risk factors of heart, cerebrovascular diseases C osteoporosis
D Smoking is chronic bronchitis, emphysema and chronic airway obstruction is one of the main causes
E The harm of smoking on women more than the men
F Passive smoking
7. Rank the ordering of following folks according to the degree of the great harm of smoking on body. Rank ordering
a. the adult
b. the old person
c. the child
d. the patient
e. the pregnant woman
8. Please give your opinion on smoking, including the disadvantages of smoking ,your attitude and advice on how to solute the problem.
a. The disadvantages
b. Your attitude
c. Your advice
9. Please fill in the blanks with the required information.(Completions) a. Your Age
b. Your Sex
c. Your major
d. Your Affiliation
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