This free survey is powered by
0%
Exit Survey
 
 
This is a research project being undertaken as a part of a postgraduate dissertation in Marketing Communications - Middlesex University Dubai, and for this project we request you to fill out the following questionnaire. This questionnaire aims to examine the behavioural and motivational aspects related to waterpipe (shisha) smoking, awareness of the harmful effects of waterpipe (shisha) smoking in the U.A.E and to gain insight on the level of acceptance for other alternatives amongst regular users.

Your answers will be used only for academic purposes and will remain anonymous. All responses you provide for this study will remain confidential. When the results of the study are reported, you will not be identified by name or any other information that could be used to reveal your identity. Your participation is voluntary and you may withdraw from this research any time you wish.

The research intends to abide by all commonly acknowledged ethical codes. If you agree to participate in this research project please sign below with the date. If you have any questions, please feel free to ask the researcher present.

Thank you for your time.

Please start with the survey now by clicking on the Continue button below.

 
 
 
 
What is your age?
 
21 - 25
 
26 - 30
 
30 - 40
 
40 - 50
 
50 - 60
 
60+
 
 
 
Gender
 
Male
 
Female
 
 
 
Nationality
   
 
 
 
Marital Status
 
Single
 
Married
 
Other
 
 
 
Number of children
 
0
 
1
 
2
 
3
 
4+
 
 
 
How long have you resided in the U.A.E?
 
Less than 1 year
 
1 to 5 years
 
5 to 10 years
 
10 years or more
 
 
 
Have you heard of waterpipe (shisha) smoking?
 
Yes
 
No
 
 
 
Do you smoke one of the following?
 
Do not smoke any of the following
 
Cigarettes
 
Electronic cigarettes
 
Shisha
 
Cigars
 
Midwak/pipe
 
 
 
Do you currently indulge in waterpipe (shisha) smoking?
 
Yes
 
No
 
Share This Survey:          Survey Software Powered by QuestionPro Survey Software