USC GETEO STUDY
Genetic Epigenetic & Transcriptomic Effects of E-cig Aerosol on Oral Epithelium
Funded by: National Institutes of Health, National Institute of Dental and Craniofacial Research, Grant No.: 1R01DE026043
Principal Investigator (PI): Ahmad Besaratinia, M.P.H., Ph.D.
If you experience any technical issue with this online survey, please contact us by e-mail or phone: E-mail:geteostudy@gmail.com | Tel: (323)-442-7765






q0_4. Gender




(mm/dd/YYYY)




q0_9. Have you ever tried smoking any tobacco product (i.e. cigarettes / hookah / cigars) even just one or two puffs?

q0_10. Which products have you used? (Select all that apply)

q1_0. Section 1: CIGARETTES

q1_1. Have you smoked cigarettes on a regular basis for at least 6 months in your lifetime?





q1_4. Are you currently a cigarette smoker?



q2_0. Section 2: ELECTRONIC CIGARETTE (E-CIG)

q2_1. Have you ever tried e-cigarettes/vaping (even just one or two puffs)?

q2_2. Which products have you used? (Select all that apply)

q2_3. Have you vaped (used e-cig) on a regular basis for at least 6 months in your lifetime?



q2_5. Are you currently using e-cigarettes/vapes?



q2_7. Have you ever tried smokeless tobacco (even just once)?

q2_8. Which products have you used? (Select all that apply)

q2_9. Have you used smokeless tobacco products in the past 6 months?

q3_0. Section 3: DRUGS: RECREATIONAL/ILLICIT

q3_1. Have you used recreational/illicit drugs on a regular basis in your lifetime?





q3_4. Do you currently have any dental problems (i.e. gum disease / tooth decay / inflammation)?

q4_0. Section 4: PRESCRIPTION MEDICINE

q4_1. Have you used prescription medicine(s) in the past 5 years?

q4_2. Have you taken prescription medicine(s) in the past 6 months?



q4_3. Are you currently taking prescription medicine(s)?



q5_0. Section 5: ADDITIONAL QUESTIONS

q5_1. Are you or have you been pregnant within the past 6 months?

q5_2. Have you ever been diagnosed with a chronic disease (i.e. diabetes, heart disease, asthma, cancer)?

q5_3. Would you be willing to provide a blood sample?

q5_4. How did you hear about this study? (Select all that apply)



Thank you for completing this questionnaire. We will review the information you provided and will contact you if you are found eligible to participate in this study. Participation includes a short interview ( max 30 min.) and a painless mouth cheek brushing at a time that is convenient for you. You will be compensated for your participation in this study.