1 |
Urge1 |
I have an urge to smoke. |
Strongly disagree (1) to strongly agree (5) |
2 |
Urge2 |
I really want to smoke. |
3 |
Urge3 |
I need a cigarette. |
4 |
Affect1 |
I feel irritable. |
5 |
Affect2 |
I feel happy. |
6 |
Affect4 |
I feel frustrated/angry. |
7 |
Affect5 |
I feel sad. |
8 |
Affect6 |
I feel worried. |
9 |
Affect7 |
I feel miserable. |
10 |
Affect8 |
I feel restless. |
11 |
Affect9 |
I feel stressed. |
12 |
Affect10 |
I feel hostile. |
13 |
Affect11 |
I feel calm. |
14 |
Cig Avail |
Cigarettes are available to me. |
Not at all (1) to easily available (5) |
15 |
Social1 |
Other people are around. |
Yes/no |
16 |
Social2 |
I am around other people and at least one of them is smoking. |
Yes/no |
17 |
Social3 |
Are you interacting with people? |
Yes/no |
18 |
Social4 |
I am interacting with people and at least one of them is smoking. |
Yes/no |
19 |
Restriction1 |
Is smoking allowed where you are? |
Forbidden (1) discouraged (2) allowed (3) |
20 |
Consumption1 |
I ate something within the last 15 minutes. |
Yes/no |
21 |
Consumption2 |
I drank alcohol within the last hour. |
Yes/no |
22 |
Expectancies1 |
I am confident that I could do something OTHER THAN SMOKE to improve my mood. |
Strongly disagree (1) to strongly agree (5) |
23 |
Expectancies2 |
I am confident that SMOKING would improve my mood |
24 |
Motivation1 |
I am motivated to AVOID smoking. |
25 |
Motivation2 |
I am committed to being smoke free. |
26 |
Abstinence Self Efficacy1 |
I am confident in my ability to AVOID smoking. |