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Exit Survey
 
 
Do you think the implementation of Medicinal Marijuana throughout the US may be beneficial?
   
 
 
 
How satisfied are you with the Healthcare laws?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
How satisfied are you with the use following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Cigarettes
Alcohol
Marijuana
Cocaine
Tobacco Products
Cigars
 
 
 
How satisfied are you with Chemotherapy treatment within the lives of Cancer patients?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
Please select your Hobbies and Interest
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other