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Hello:
You are invited to participate in our survey in Technoprenuership 101. In this survey, approximately 50 people will be asked to complete a survey that asks questions on how you take care of your health. It will take approximately take 3] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Contact Information
* First Name : 
* Last Name : 
Phone : 
* Email Address : 
 
 
 
Company
   
 
 
 
* Age:
   
 
 
 
* Gender:
 
 
 
* Are you a body conscious?
 
Yes
 
No
 
Maybe
 
 
 
* What kind of foods do you eat?
 
Vegetables
 
Fruits
 
Pork
 
Meat
 
Seafoods
 
Other
 

 
 
 
* Do you usually skip a meal in a day?
 
Yes
 
No
 
Sometimes
 
 
 
* Do you think it is necessary for healthy people to take additional vitamins or mineral supplements?
 
Yes
 
No
 
Maybe
 
 
 
* Which do you think is the most dangerous for your health?
 
Ten cigarettes every day
 
Half a bottle of wine every day
 
Regularly eating genetically modified food
 
Drinking alcohol everyday
 
Other