Questionnaire about smoking

Are you a male or female?

Do you smoke ?

How long have you been smoking ?

How much money do you spend on cigarettes per week?

How many cigarettes do you smoke per day?

  1. 0
  2. 10
  3. 0
  4. 1 or 2
  5. 1-3
  6. 0
  7. 6
  8. 15
  9. 3-5
  10. 3
…Daugiau…

Are you planning on quitting this habit?

Why have you started to smoke?

Do you know the consequences that smoking make?

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