Vaping and Public Health


This is a short survey designed to illustrate the effects that vaping has had on public health. All answers are anonymous. Please help us present the facts to the FDA and #SaveVaping!

* Required
Are you *
How old are you? * *
How long have you been vaping *
Do you or have you smoke(d) combustible tobacco products like cigarettes/cigars/pipe? * *
If you have smoked combustible tobacco products, for how long? *
Have you ever tried to quit using combustible tobacco products? * *
If yes, which method(s) have you used to quit? (Check all that apply) * *
Required
Which category best describes you? * *
What types of ENDS products to you prefer? * *
Which types of e-liquid flavors do you prefer? (Check all that apply) * *
Required
When you first began using ENDS products, what nicotine level did you start with? * *
What nicotine level do you use now? * *
Do you have, or have you ever suffered a smoking related affliction? * *
If yes, would you mind sharing with us the details of that affliction? (e.g., Asthma, COPD, Emphysema, Cancer, or anything else attributed to smoking. Remember, this is anonymous.) *
In your opinion, has your affliction worsened, stalled, or gotten better since you began using ENDS products? * *
What has your doctor said, regarding your affliction, since you began using ENDS products? * *
Many places are arguing that the variety of flavors available in vapor products are attractive to youth, and they are attempting to implement removing flavors. What will you do if only tobacco and mint flavors are available commercially? * *
In May, 2020, the vaping industry as a whole is set to drastically change, due to the cost prohibitive approval process from the FDA. What will you do if only a handful of devices and e-liquids are available? * *
In your opinion, what affect do you feel vaping has/will have on general public health? * *
Submit
Never submit passwords through Google Forms.
This form was created inside of Cool Breeze Vapor. Report Abuse