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How often do you get a common cold?
 
Once a year
 
A few times a year
 
Always sick
 
Never sick
 
 
 
What do you do first when catching a cold?
 
Netti pot
 
OTC cold medicine
 
Schedule Dr appointment
 
Drink lots of fluids and chicken noodle soup
 
 
 
I believe prescription medicine cures my sickness
 
True
 
False
 
 
 
I believe in prevention of illnes.
 
True
 
False
 
 
 
I lead a stressfull life.
 
True
 
False
 
 
 
I relieve stress by:
 
Exercise
 
Outdoor activities
 
Meditation
 
Smoking
 
Drinking
 
Take medication
 
 
 
I have a healthy diet
 
True
 
False
 
 
 
What is your age?
 
18-30
 
31-45
 
46-65
 
66+
 
 
 
I am:
 
Male
 
Female
 
 
 
How would you describe yourself?
 
American Indian / Native American
 
Asian
 
Black / African American
 
Hispanic / Latino
 
White / Caucasian
 
Pacific Islander
 
Other
 
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