| A. | Over time, did you find that you could [SMOKE/SMOKE OR CHEW/CHEW] more without feeling nauseated or dizzy? (Tolerance) | |
| B. | Compared to when you first started [SMOKING/SMOKING OR CHEWING/CHEWING], did you need to [SMOKE/SMOKE OR CHEW/CHEW] more in order to feel satisfied or get the same effect? (Tolerance) | |
| C. | Did you ever have times when you stopped, cut down, or went without [SMOKING/SMOKING OR CHEWING/CHEWING] for a period of time and then experienced the following: a. A strong need or urge to [SMOKE/SMOKE OR CHEW/CHEW]; b. Felt irritable; c. Difficulty concentrating; d. Felt sad, blue or depressed; e. Felt frustrated or angry; f. Muscle aches*; g. Felt restlessness or impatient; h. Increased appetite or weight gain; i. Increased heart rate*; j. Nausea or vomiting*; k. Felt tense or anxious; l. Didn't sleep well. [As per DSM-IV, item a was not used in the definition of withdrawal.] * Sham items. | |
| D. | Did you ever have times when you [SMOKED/SMOKED OR CHEWED/CHEWED] to keep from feeling bad? (Withdrawal) | |
| E. | Did you ever have times when you [SMOKED/SMOKED OR CHEWED/CHEWED], even though you promised yourself you wouldn't? (Impaired control) | |
| F. | Were there ever times when you [SMOKED/SMOKED OR CHEWED/CHEWED] more frequently or for more days in a row than you intended? (Impaired control) | |
| G. | Were there times when you tried to stop or cut down on your [SMOKING/SMOKING OR CHEWING/CHEWING] and found that you were not able to do so? (Unsuccessful attempts to quit) | |
| H. | Did you ever have periods of several days or more when you [CHAIN-SMOKED, THAT IS, STARTED ANOTHER [DISPLAY PRODUCTS SMOKED]/CHAIN-SMOKED, THAT IS, STARTED ANOTHER [DISPLAY PRODUCTS SMOKED], OR STARTED ANOTHER CHEW/STARTED ANOTHER CHEW] as soon as you had finished one? (Great deal of time spent using) | |
| I. | Did you ever have a period of a month or longer when you gave up or greatly reduced important activities—like sports, school, work, or spending time with friends and family so you could [SMOKE/SMOKE OR CHEW/CHEW]? (Neglect activities) | |
| J. | Did your tobacco use ever cause you any physical problems like coughing, difficulty breathing, lung trouble or problems with your heart or blood pressure? (Use despite negative consequences) - (Screen item for J.a) | |
| J.a | Did you continue to [SMOKE/SMOKE OR CHEW/CHEW] even though you knew that [SMOKING/SMOKING OR CHEWING/CHEWING] was causing you physical problems or making them worse? (Use despite negative consequences) | |
| K. | Did your tobacco use ever cause you any emotional problems like irritability, nervousness, restlessness, difficulty concentrating, or depression? (Use despite negative consequences) - (Screen item for K.a) | |
| K.a | Did you continue to [SMOKE/SMOKE OR CHEW/CHEW] even though you knew that [SMOKING/SMOKING OR CHEWING/CHEWING] was causing you emotional problems or making them worse? (Use despite negative consequences) |