1. Do you chew gutka?

(a) Yes (b) No

2. Why you used to chew gutka? (a) Tension (b) Family Habitation (Family Influence) (c) Influence of Friends and Relatives (d) Self-addicted (e) For Enjoyment (f) Occasionally 3. Which gutka you used to chew? [you may tick more than one] (a) Vimal (b) RMD gutka (c) Shimla (d) Goa (e) Tulsi (f) Zatpat (g) Zee (h) Silver (Mahek)

4. How many times you take/sew gutka sachet per day? (a) 1 to 4 gutka sachet a day (b) 5 to 8 gutka sachet a day (c) 9 to 12 gutka sachet a day (d) More than 12 gutka sachet a day

5. Whether you quit gutka chewing because of this ban? (a) Yes (b) No

6. If yes in que-(5), through which way(s) you will quit the gutka? [You may tick more than one] (a) Through medical advices or products (b) Through chewing chewing-gum or chocolates (c) Through switching to other tobacco products (d) Through switching to non-tobacco products (such as pan-masala) (e) Self control

7. If no in que-(5), what will be your solution? (a) I have already kept large stock of gutka with me (b) I will import gutka from out of the state (c) I will manage gutka for myself in any way (d) Other__________________________________

8. If you chose to quit the gutka by way of switching to other tobacco products, than which tobacco product(s) will you prefer? [You may tick more than one] (a) Cigarette (b) Bidi (c) Tobacco (Miraz Tobacco, Suresh Tobacco, etc) (d) Masala (like 135, 300,120, 99.) (e) By mixing Tobbaco with Pan-masala

9. What is your opinion on gutka ban in Gujarat? (a) Gutka ban is good steps by state government (b) It is acceptable as it is also being implemented in other states of the country.

(c) I dont care (d) Not acceptable because I cant live without gutka (e) People will not be affected and they will continue any way (f) There should be ban on tobacco itself. Opinion towards gutka ban Gutka ban is good steps by state government It is acceptable as it is also being implemented in other states of the country. I dont care Not acceptable because I cant live without gutka People will not be affected and they will continue any way There should be ban on tobacco itself Percentage 17 11 10 31 18 13

Opinion towards gutka ban

35 30 25 20 15 10 5 0 17 11 10 18 13 Percentage 31

Personal Information: Name: Age: a) below 18 years

b) 18 to 25 years c) 25 to 35 years d) 35 to 50 years e) above 50 years

Occupation: (a) Student (b) Service (c) Business (d) Worker/Laborer (e) Self-employed Education: a) S.S.C b) H.S.C. C) Graduate d) P.G. e) Other_______________