Additional Questionnaire 18 Months

City         {A1} <_>   Springfield
                        Hartford
                        Durham
                        Columbia

ID           {A2}  ##

Quit Smoking? {A3}  #   1=Yes
                        0=No
                   Month         Year            Days
 Last Time  {A4a1}  ##    {A4a2}  ##   {A4a3}    ###
 2nd  Last  {A4b1}  ##    {A4b2}  ##   {A4b3}    ###
 3rd  Last  {A4c1}  ##    {A4c2}  ##   {A4c3}    ###

Important Reasons   1=Yes
                    blank= No

 {A5a} # Save Money         {A5b} # Improve taste/smell
 {A5c} # Feel Better        {A5d} # Follow doctor's advice
 {A5e} # Avoid illness      {A5f} # Set example for kids
 {A5g} # Help helath probl  {A5h} # Please a loved one
 {A5i} # Get control        {A5j} # Meet religious rules