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  2. 2012
  3. December
  4. S
  5. Smoking
0%
Exit Survey
 
 
Age:
 
13-15
 
16-19

 
 
Gender
 
M
 
F

 
 
How often do you smoke?
 
Never
 
1 to 3 packs a day
 
4 to 5 packs a day
 
more than 5 packs
 
 
Who will make you smoke?
 
No one
 
Parents
 
Relatives
 
Peers
 
Other
 
 
 
What do you think are the impact of smoking?
 
Air pollution index
 
Respiratory system diseases
 
Lose hair
 
Skin and teeth become yellow
 
Lung cancer
 
High blood pressure
 
Other
 
 
How do smoking affect the Air pollution index?
None A little Badly Very serious
 
 
How can smoking affect your relationship between family?
None A little poor Badly Better
 
 
How can smoking affect your relationship between peers?
None a little poor Badly Better
 
 
 
Will you tell anyone if you are smoking?
   
 
 
How do you feel about smoking?