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1. Are you an active smoker? o YES o NO 2. From which age you started smoking?

3. When do you feel to smoke?

4. How many times in a day do you feel like smoking?

5. Do you aware of the diseases occurring due to smoking? o YES o NO 6. Would you like to quit smoking? o YES o NO 7. Have you ever tried to quit smoking? o YES o NO 8. Do you use any product to get rid from smoking? o YES o NO 9. Do you get any release from that product? o YES o NO