Household questionnaire Individual questionnaire

6 Methodology for South-East Asia WHO SEARO. The adapted questionnaires were approved by a questionnaire review committee QRC. The questionnaires were developed in English and later translated into Indonesian. The questionnaires were also back- translated to English to check the quality of translation before being used for field implementation. The questionnaires were pretested during the pilot conducted in Bogor City and Bogor District in May 2011 and finalized in July after incorporating the changes suggested from the pretest experience.

2.3.1. Household questionnaire

The household questionnaire collected information on all the usual residents in the sampled household to identify eligible persons from the household and capture their basic information so that a random eligible respondent could be selected for the individual questionnaire. For all listed household members, basic information on age and gender was collected. The information on age was used to identify an eligible random respondent for the individual questionnaire. The questionnaire also collected information on the current use of smoked and smokeless tobacco.

2.3.2. Individual questionnaire

The individual questionnaire collected information from eligible selected individuals aged 15 years and above. The individual questionnaire consisted of the following 10 sections:  Background characteristics: Questions on gender, age, education, occupation and possession of household items  Tobacco smoking: Questions covering patterns of use daily consumption, less than daily consumption, not at all, formerpast tobacco consumption, age at initiation of daily smoking, consumption of different tobacco products, cigarettes, kretek cigarettes, pipes, cigars, nicotine dependence and frequency of quit attempts  Smokeless tobacco: Questions covering patterns of use daily consumption, less than daily consumption, not at all, and formerpast use of smokeless tobacco  Electronic cigarettes: Questions covering patterns of use daily consumption, less than daily consumption, not at all of electronic cigarettes  Cessation: Questions on advice to quit smoking by a health-care provider, method used to try to stop smoking and thinking about quitting smoking  Second-hand smoke: Questions on smoking allowed in the home, exposure to second-hand smoke at home, indoor smoking policy at the workplace, exposure in the past 30 days at the workplace, government buildingsoffices, universitieseducational facilities, religious facilities, health-care facilities, restaurantsbarsnight clubs and public transportation  Economics—manufactured white cigarettes: Questions covering the type of manufactured white cigarette product and quantity bought, cost of manufactured white cigarette products, brand, type of product purchased and source of manufactured white cigarette products  Economics—kretek cigarettes: Questions covering the type of kretek cigarette product and quantity bought, cost of kretek cigarette products, brand and type of product purchased and source of kretek cigarette products  Media: Questions on exposure to advertisement – television, radio, billboards, posters, newspapersmagazines, cinema, internet, public transportation, public walls and others; exposure to sporting events connected with tobacco; exposure to music, theatre, art or fashion events connected with tobacco; exposure to tobacco promotion activities; reaction to health warning labels on cigarette packages and exposure to anti-tobacco advertising and information. These questions were asked for both white manufactured cigarettes and kretek cigarettes. The reference period for the questions in this section was 30 days.  Knowledge, attitudes and perceptions: Questions regarding knowledge about the health effects of using both smoked and smokeless tobacco.

2.4. Questionnaire programming and preparation for electronic data collection