Document 12872449

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PROMIS Short Form v1.0 – Smoking: Negative Psychosocial Expectancies for Daily and Nondaily Smokers 6a

Smoking: Negative Psychosocial Expectancies for Daily and Nondaily Smokers

– Short Form 6a

Please respond to each question or statement by marking one box per row.

If I quit smoking I will be more in control of my life…………………………………...

If I quit smoking my friends will respect me more………………………………………..

My need for cigarettes makes me feel disappointed in myself……………………..

My smoking makes me feel less attractive...

People think less of me if they see me smoking…………………………………….

My cigarette smoking bothers others………

Not at all

1

1

1

1

1

1

A little bit

2

2

2

2

2

2

Somewhat

3

3

3

3

3

3

Quite a bit Very much

4

4

4

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4

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5

© 2012-2015 PROMIS Health Organization and PROMIS Cooperative Group Page 1 of 1

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