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2011
November
E
E- Cigarettes
E- Cigarettes
0%
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Your Sex:
Male
Female
What is your age?
I consider myself_________?
A social smoker
A habitual smoker
A non-smoker
( Answer this question only if you answered to being a smoker above) I smoke ________ cigarettes per week.
1-5
6-10
10-15
15-20
21+
How familiar are you with Electronic Cigarettes:
Never Heard Of Them
Unfamiliar
Neutral
Familiar
Very Familiar
Safe Cig
How Interested are you in this product
Very interested
Somewhat interested
Neutral
Very little interest
No interest at all
Safe Cig
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