NMICS 2010 Report - Central Bureau of Statistics

TA11. HAVE YOU CONSUMED ANY SMOKELESSTOBACCO SUBSTANCES (SUCH AS SURTITOBACCO PLANT LEAVES, KHAINI, SNUFF) INTHE PAST ONE MONTH?Yes ..................................................................... 1No ..................................................................... 22 TA14TA12. WHAT TYPE OF SMOKELESS TOBACCO DIDYOU CONSUME OR CHEW IN THE PAST ONEMONTH?Tick circle on every answer.Chewing tobacco ............................................... ASnuff................................................................... BGutkha ............................................................... DKhaini ................................................................. EOthers (Specify) ________________________ XTA13. HOW MANY DAYS DID YOU CONSUMESMOKELESS TOBACCO SUBSTANCES (SUCH ASSURTI TOBACCO PLANT LEAVES, KHAINI, SNUFF)IN THE PAST ONE MONTH?Write number of days if less than 10 days.Circle 10 if days 10 or more but less than a month.Circle on “30” if “everyday” or “almost everyday”.TA14. NOW, I WOULD LIKE TO ASK YOU A FEWQUESTIONS ABOUT ALCOHOL-DRINKING?HAVE YOU EVER HAD ALCOHOL (SUCH AS BEER,WINE OR HOMEMADE LIQUOR)?No. of days ............................................. ___ ___10 days or more but less than a month ............ 10Every day/almost everyday .............................. 30Yes ..................................................................... 1No ..................................................................... 22NextModuleTA15A. HOW OLD WERE YOU WHEN YOU FIRST HADAN ALCOHOLIC DRINK?Age...........................................................___ ___TA16A. HOW MANY DAYS DID YOU DRINK ALCOHOLIN THE PAST ONE MONTH?Write number of days if less than 10 days.Circle 10 if 10 days or more but less than a month.Circle on “30” if “everyday” or “almost everyday”.Didn’t drink any alcohol last month .................. 00No. of days ..............................................___ ___10 days or more but less than a month ............ 10Everyday/almost everyday .............................. 3000NextModule282