[TheDoubleA]

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Survey


Directions: Just erase the answers that don't fit and leave the the one that
does. For example, the fisrt one could be 'Yes' so just delete 'No' and
'Idon't Smoke' then leave yes for that question. And move on.



1) When I smoke, in public, people give me bad looks.

I don't Smoke

2) I like it when people smoke in my working area.

I Disagree

3) I smoke, and know second hand smoke is deadly, but I just don't care.

I Don't Smoke

4) I feel uncomfortable in areas where I'm not allowed to smoke.

I Don't Smoke

5) I hate it when people smoke in public restaurant.

I Disagree

6) I dislike it when I have to go outside and smoke, because of 'no smoking'
signs.

I Don't Smoke

7) I hate it when I see somebody smoking in public.

I Disagree

8) I smoke and enjoy it.

I Don't Smoke

9) I play or know somebody that plays video games.

Yes

10) Have you or someone you know, damaged your/their vision from playing
video games?

No

11) I play or know somebody that plays video games non-stop. Example:
addicted to video games.

No

12) This person that is addicted to video games, has acted differently after
playing video games. Example: Not showing up to meetings. Not showing up to
school, etc.

Don't Know Anybody Like This

13) I believe that playing video games can harm my wrists.

I Agree

14) I think that video games teach kids violent behavior.

I Disagree

15) Children should play violent video games all day everyday.

I Disagree

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