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Exit Survey
 
 
Are you male or female?
 
Male
 
Female
 
 
 
How old are you?
 
under 19
 
20-25
 
26-35
 
36-45
 
46 and over
 
 
 
Do you spend time on Social Media?
 
Yes
 
No
 
 
 
 
If you answered no to question #3, please let us know your thoughts on social media in comments/suggestions box below and move on to question #7
   
 
 
 
If you answered yes to question #3, please rank (1-5) the following social media website in order of interest:
Facebook
Twitter
Vine
Youtube
Other
 
 
 
Do you have access to a smart phone or tablet?
 
Yes
 
No
 
 
 
Do you currently take prescriptive medication?
 
Yes
 
No
 
 
 
If you answered no to question #6, thank you for your participation, this concludes your participation in this survey.
   
 
 
 
If you answered yes to question #7, did you see an advertisement for any of the prescription medication on the following social media websites:
 
Facebook
 
Twitter
 
Vine
 
Youtube
 
more than one of the above
 
None of the above
 
Other social media websites not mentioned (please name)
 
 
 
 
Are you addicted to prescription drugs?
 
Yes
 
No