2. Are you aware of the health risks brought about by smoking?
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FORMCHECKBOX By the media |
FORMCHECKBOX By friends |
FORMCHECKBOX By the school |
FORMCHECKBOX By the smoking awareness program |
FORMCHECKBOX Others _______________________ |
FORMCHECKBOX By parents |
FORMCHECKBOX By health professionals |
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4. Is smoking a need of the body?
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5. Does prohibition and signs of no smoking matter to you?
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6. Do you think smoking is the root of poverty?
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7. Do you know any anti-smoking organizations?
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FORMCHECKBOX Peer pressure |
FORMCHECKBOX Convinced by cigarette advertisements |
FORMCHECKBOX Parental influence |
FORMCHECKBOX Out of curiosity |
FORMCHECKBOX To relieve stress |
FORMCHECKBOX To look cool |
FORMCHECKBOX To lose weight |
FORMCHECKBOX To fit in |
FORMCHECKBOX Media influences |
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10. If no, do you have any plans to start smoking?
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FORMCHECKBOX Boosts performance |
FORMCHECKBOX Improves socialization skills |
FORMCHECKBOX Feeling of contentment |
FORMCHECKBOX Pantawid-gutom |
FORMCHECKBOX Allows mind to think clearly FORMCHECKBOX Others _______________________ |
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FORMCHECKBOX Causes respiratory diseases |
FORMCHECKBOX Allocates budget |
FORMCHECKBOX Causes global warming |
FORMCHECKBOX Waste of natural resources |
FORMCHECKBOX Others _______________________ |
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FORMCHECKBOX Lung Cancer |
FORMCHECKBOX Bronchitis |
FORMCHECKBOX Emphysema |
FORMCHECKBOX Chronic Obstructive Pulmonary Disease |
FORMCHECKBOX Asthma |
FORMCHECKBOX Addiction problems |
FORMCHECKBOX Oral cancer |
FORMCHECKBOX Impotence |
FORMCHECKBOX Heart disease |
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FORMCHECKBOX Yes, I am starting step by step |
FORMCHECKBOX Yes, but I don’t know how |
FORMCHECKBOX No, I like smoking so much I can’t live without i |
FORMCHECKBOX No, because I don’t want to go through the |
withdrawal symptoms |
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