EmailMe Form - Customer Feedback

Are you *
Male
Female
Prefer not to say
How old are you? *
18 - 24
25 - 34
35 - 44
45 - 54
55 +
How long have you been vaping? *
Less than 6 months
Less than 1 year
1 - 2 years
2 - 5 years
More than 5 years
Do you or have you smoke(d) combustible tobacco products like cigarettes, cigars, pipes (now or in the past)? *
Yes
No
If you have smoked combustible tobacco products, for how long? *
I have never used combustible tobacco products
Less than 6 months
Less than 1 year
1 - 5 years
5 - 10 years
10 - 20 years
More than 20 years
If yes, which method(s) have you used to quit combustible tobacco products? (Check all that apply) *
Nicotine Patches
Nicotine Lozenges
Nicotine Gum
Prescription Medication
Cold Turkey
ENDS products (Vaping products)
I have never used any method to quit combustible tobacco products
Which category best describes you? *
I only use vapor products
I only use combustible tobacco products
I use both vapor and combustible tobacco products
What types of ENDS products do you prefer? *
Open devices (i.e. separate battery and tank, sub-oHm devices, refillable tanks, RDA, RDTA)
Closed devices (i.e. Pod systems, pre-filled cartridges, disposable tanks)
I use both Open and Closed systems
What types of e-liquid flavors do you prefer (Check all that apply) *
Fruit
Dessert
Tobacco
Menthol/Mint
Drinks
Candy
Cereal
Other *
In Other above, please describe
When you first begin using ENDS, what nicotine level did you start with? *
0 mg
1 - 3 mg
4 - 6 mg
7 - 12 mg
13 - 18 mg
19 - 24 mg
Over 24 mg
What level of nicotine do you use now in ENDS? *
0 mg
1 - 3 mg
4 - 6 mg
7 - 12 mg
13 - 18 mg
19 - 24 mg
Over 24 mg
Do you have, or have you ever suffered from a smoking related affliction? *
Yes
No
If Yes, would you mind sharing with us the details of that affliction? (I.e. COPD, Asthma, 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? *
I do not have, nor have I ever had, a smoking related affliction
My affliction has gotten worse
My affliction has stalled in its progression
My affliction has improved
My affliction has disappeared
What has your doctor said, regarding your affliction, since you began using ENDS products? *
I do not have, nor have I ever had, a smoking related affliction
My doctor says my affliction has gotten worse
My doctor says my affliction has stalled in its progression
My doctor says my affliction has improved
My doctor says my affliction has improved
I have not had feedback on way or another from a doctor regarding this
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? *
I will quit vaping altogether, and not return to smoking
I will switch to a tobacco or mint flavor
I'm afraid I will go back to smoking combustible tobacco products
I will make my own e-liquid
I will look to the "black market" to find vapor products
In Sept, 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? *
I will quit vaping altogether, and not return to smoking
I will switch to a tobacco or mint flavor
I'm afraid I will go back to smoking combustible tobacco products
I will make my own e-liquid
I will look to the "black market" to find vapor products
In your opinion, what affect do you feel vaping has/will have on general public health? *
Allowing adults to vape will drastically improve public health
Allowing adults to vape will be good for public health
Allowing adults to vape will have no affect on public health
Allowing adults to vape will be bad for public health
Allowing adults to vape will be drastically bad for public health