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What is your age?
 
Under 21
 
21 to 30
 
31 to 40
 
41 to 50
 
51 to 60
 
Over 60
 
 
 
Gender?
 
Male
 
Female
 
Other
 
 
 
Employment Status? 
 
Student
 
Unemployed
 
Working Part-Time
 
Working Full-Time
 
Retired
 
 
 
How many hours a day do you spend watching TV?
 
Not at all
 
Less than an hour
 
1 hour to 2 hours
 
2 hours to 4 hours
 
4 hours to 6 hours
 
Over 6 hours
 
 
 
Do you read magazines?
 
Yes
 
No
 
 
 
If so, what kind? 
 
Sports
 
Business
 
Fashion
 
Comics
 
Education
 
Entertainment
 
Other
 
 
 
What are your opinions on smoking?
 
Acceptable
 
Not acceptable
 
Completely unacceptable
 
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