12/23/2011

health

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Questionnaire


1) Name--------------------------------------------------------------------------------


) University---------------------------------------------------------------------------


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) Major--------------------------------------------------------------------------------


4) Age----------------------------------------------------------------------------------


5) Gender male( ) female( )


6) Are you a smoker?


a) Yes b) no


7) If you are a smoker, do you want to quit smoking?


a) Yes b) no, I love smoking c) Im not a smoker


8) Do you know that smoking cause many diseases?


a) Yes b) no, I dont


) Cigarettes consist of


a) Nicotine b) nicotine & other elements


10) Do you know any way for smokers to quit smoking?


a) Yes b) no


11) if yes, please mention it below


1) Can you tell us some of the diseases caused by smoking?


1) How many cigarettes do you smoke per/day?


a) 1-5 b) 6-1 c) 1-0 d) more than 1 box per/day


e) Im not a smoker.


14) How much do spend on smoking per/week?


a) 6-18 L.E b) 4-5 L.E c) more than 5 L.E


d) Im not a smoker


15) Do you know what nicoritte gum is?


a) Yes b) no


16) Do you believe that smoking causes air pollution?


a) Yes b) no


17) Does government have the right to prevent smoking?


a) Yes b) no


18) If yes, please state why?





1) The best thing that you can tell to a smoker friend is


a) Quit smoking right now (start a fight)


b) Try to decrease your smoking rate, you smoke too much!


c) Youre harming yourself & the people around you as well!


0) Do you know any other kinds of smoking other than cigarettes?


a) Yes, I do b) no, I dont


1) Have you ever experienced any kind of smoking other than cigarettes �ยบ ?


A) yes, many types


b) No


) Finally, is smoking prohibited by god?





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