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Exit Survey
 
 
Do you try to keep healthy?
 
Yes
 
No
 
 
 
Do you smoke?
 
Yes
 
No
 
 
 
If yes how many cigarettes do you smoke per day?
   
 
 
 
Are you aware of the effects of smoking on your health?
   
 
 
 
If you were going to stop smoking, would you know where to go for help?
 
Yes
 
No
 
 
 
Do you drink alcohol?
 
Yes
 
No
 
 
 
If yes, do you know what the advised number of units are for men and women per day?
   
 
 
 
How many units of alcohol do you drink per week and on which days do you usually drink?