Tobacco Use

Why Does It Matter?

“Electronic Cigarettes and Vaping” by David Geffen School of Medicine at UCLA, 5 minutes

While humans have burned and inhaled tobacco for over 7,000 years, e-cigarettes containing nicotine have only been in use for about 18 years. Since e-cigarettes are relatively new, the extent of their harmful effects on human health is not yet known. At the very least, the additive effects of nicotine are just as present in e-cigarettes as they are in traditional tobacco use. Nicotine has been compared with heroin and cocaine in its ability to result in user dependency, and unfortunately the developing teenage brain is the most vulnerable to these additive effects (David Geffen School of Medicine at UCLA, 2017).

Tobacco and nicotine use have many documented health risks. The prefrontal cortex, which controls higher cognitive functions, develops throughout adolescence and into young adulthood. Smoking during this time has been associated with lasting cognitive and behavioral impairments, affecting memory, attention, and overall cognition. Nicotine consumption increases the risk for cardiovascular disease, as well as the risk for oral, esophageal, or pancreatic cancer (NCCDPHP, 2014). Read more...

About the Instrument

The Tobacco Use survey aims to understand an individual’s overall risk for tobacco use and their risk for nicotine dependence.

There are 2-12 questions included in the Tobacco Use survey, and takes 1-8 minutes to complete. Details about the questions and where they come from can be found in the document attached to this page.

Photo by Andrea Piacquadio from Pexels



  • David Geffen School of Medicine at UCLA. (2017, August 23). Electronic Cigarettes and Vaping [Video]. YouTube.

  • Global Adult Tobacco Survey Collaborative Group. Global Adult Tobacco Survey (GATS): Core Questionnaire with Optional Questions, Version 2.0. Atlanta, GA: Centers for Disease Control and Prevention, 2010.

  • Heatherton, T.F., Kozlowski, L.T., Frecker, R.C. and K.O. Fagerstrom (1991). The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addic, 86(9):1119-1127.

  • National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2014. 5, Nicotine. Available from: