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Smoking Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Smoking Survey
1

Do you smoke ?

Select one or more answers
Smoking Survey
2

How often do you smoking ?

Select one or more answers
Smoking Survey
3

When you smoke, how do you feel ?

Select one or more answers
Smoking Survey
4

When you smoke do you think that smoking affect your studies ?

Select one or more answers