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What is your age?
 
18 - 25
 
25 - 34
 
35 - 44
 
45 -54
 
55 - 64
 
65 - 74

 
 
 
Gender
 
Male
 
Female
 
 
 
Which occupational category would you fall under?
 
Student
 
Administrative
 
Academic
 
Professional
 
Other
 
 
 
What is your average annual income level?
 
0 - 300
 
300 - 500
 
500 - 800
 
800 - 1500
 
1500 - 3000
 
3000 +
 
 
 
In general, would you say your health is:
 
Excellent
 
Very Good
 
Good
 
Fair
 
Poor
 
 
 
Please indicate the activities in which you participate that help you relieve stress.
 
Exercise
 
Play sport
 
Deep breathing
 
Read a book
 
Listen to music
 
Take a walk/hike
 
 
 
How often do you drink alcoholic drinks?
 
I do not drink
 
1-2 drinks per week
 
5-6 drinks per week
 
7-8 drinks per week
 
More than 10 drinks per week
 
 
 
How often do you smoke?
 
I do not smoke
 
5-10 cigarettes per day
 
11-20 cigarettes per day
 
More than 20 cigarettes per day
 
 
 
How much do you spend on average per month on: Vitamins / Dietary Supplements; Gym Membership; Excercise Classes; Any other promoting wellness products.
 
0 - 10 GEL
 
10 - 50 GEL
 
50 - 100 GEL
 
100 - 500 GEL
 
500 +
 
 
 
Have you ever heard about the "Wellness Tourism"?
 
Yes
 
No
 
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