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How old are you?
 
18-25
 
26-35
 
36-49
 
50+
 
 
 
Gender?
 
Male
 
Female
 
 
 
What is your native language?
 
English
 
Spanish
 
Other
 
 
 
 
Which of these protective devices against mosquitos do you use(Select all that apply)?
 
Bug Spray (with DEET)
 
Long Sleeves
 
Citronella Candles
 
Avoid being outside during peak mosquito hours
 
None of the Above

 
 
How often would you say you use these protective devices against mosquitos?
Every time Most of the time Seldom Never
Bug Spray (with DEET)
Bug Spray (without DEET)
Long Sleeves
Avoid Being Outside During Peak Mosquito times
 
 
How do you feel about the following statements:
Strongly Agree Agree Neutral Disagree Storngly Disagree
I do not wear long sleeves because it is uncomfortable.
I can't avoid being outside during peak mosquito hours.
I do not wear bug spray with DEET because it is dangerous.
 
 
 
If you knew someone who had the West Nile Virus would you be more likely to take preventative action against mosquitos?:
   
 
 
 
What is your T#:
   
 
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