This study surveyed students at a Northeastern university about hookah and e-cigarette usage. The survey found that 54% reported hookah use, 17% reported e-cigarette use, and 26% reported vapor hookah use. Students who smoked cigarettes were more likely to use e-cigarettes, vapor hookah, and smokeless tobacco. The researchers recommend an educational intervention using interactive online modules to address students' knowledge deficits about health risks.