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How often do you use caffeine?
 
Daily
 
Twice a Week
 
Once a Week
 
Monthly
 
 
 
When was the last time you used caffeine?
 
Today
 
Yesterday
 
Last week
 
Two weeks ago
 
Last month
 
 
 
What types of products do you use that contain caffeine?
 
Soda
 
Energy Drinks
 
Candy
 
Tea
 
Coffee
 
 
 
Why do you consume caffeine products?
 
Because products I like contain them (Soda, Tea, etc)
 
Because it wakes me up
 
I use it with alcohol
 
It gives me energy
 
I don't know
 
None of the above
 
 
 
If you answered non of the above in question 4 please elaborate on why you use caffeine otherwise proceed to question 6
   
 
 
 
Please check your gender
 
Male
 
Female
 
 
 
What is your age?
 
20 - 23
 
24 - 26
 
27 - 30
 
30 - above
 
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