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What gender are you ?
 
Male
 
Female

 
 
 
Select your age range
 
30-35
 
35-40
 
40-45
 
45-50
 
 
 
Do you smoke ?
 
Yes
 
No
 
 
 
Why did you start smoking ?
   
 
 
 
How long have you been smoking ?
   
 
 
 
Have you developed any health problems related to smoking ?
 
Yes
 
No
 
 
 
If the answer to Q6 was no please proceed to question_ .If yes please specify the health issues you have experienced