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Smoking History Survey

Abbreviation

SHS

Description

The Smoking History Survey is a modified version of the Mayo Nicotine Dependence Center Patient Questionnaire [1991] and is administered by the RA. It asks participants how many cigarettes per day they smoke, at what age they started smoking, number of years smoking, how many times they have attempted to quit (including methods), when the last quit attempt occurred, their longest period of cigarette abstinence, and if there are other smokers in their household. Information on other non-cigarette tobacco products will also be noted.