Questionnaire about smoking
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Are you a male or female?
Male
Female
Do you smoke ?
Yes
No
Sometimes
How long have you been smoking ?
For a month
For a year
Longer
Never
How much money do you spend on cigarettes per week?
10€
20€
More
0€
How many cigarettes do you smoke per day?
Are you planning on quitting this habit?
Yes
No
Maybe
I don't smoke at all
Why have you started to smoke?
Job
Mental problems
Family problems
I haven't started to smoke
Do you know the consequences that smoking make?
Yes
No
A little
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