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Exit Survey
 
 
01.What is your age (in years)?
 
11 – 20
 
21 – 30
 
31 – 40
 
41 – 50
 
Above 50
 
 
 
02.Do you use a mobile phone?
 
Yes
 
No
 
 
 
03.What is the brand and model of your mobile phone? (ex: Nokia 1100)
   
 
 
04.What are the features in the mobile you use frequently? Please rank (5 stars – most using feature, 1 star– least , 0 – not using)
Call
SMS
MMS
Games
Internet
 
 
 
05.Have you ever thought about committing suicide?
 
Yes
 
No(Please go to No. 13)
 
 
 
06.How long have you had that thought?
   
 
 
 
07.Did you get rid of that thought?
 
Yes
 
No(Please go to No. 10)
 
 
 
08.How did you get rid of that thought?
   
 
 
 
09.How did you felt about that thought, after get rid of that?
   
 
 
 
10.Did you communicate those thoughts to anyone?
 
Yes
 
No(Please go to No. 13)