Questionnaire Thai

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1.

(
)

1
1.

2. ..............................
3.
/
4.
/.




5.
10
11 - 20
21 - 30
30
6.
(
)
_________________ .

7. (
8)






_________________
8. 12



1 2
3 -4
5

9.




2

1.


____________________

2.
1
2-5
6-10
10

3.

1
2 5
6 10
11 20
20 (1 )

4.


5
6-30
31-60
60
5.
__________


6.


( 3)
7.





1



6


6

3
0 = , 1 = , 2 = , 3 =
, 4 =


0 1 2 3 4

1. 1



2.
1

3.
1

4. 1



5.
1


6. 1





7. 1



8. 1

9. 1




10.
1


4
1. How many cigarettes a day do you smoke?
26
16-25
1-15
1
2. ?





3.

30
30



4.






5.






6.




7. 2 .




5



1.






2-4


2-4
4

2.



1 - 2 3 -4 5 - 6 7 - 9 10

0 = , 1 = 1 , 2 =
, 3 = , 4 =

0 1 2 3 4

3. 6
1
4.




5.




6.



7.

8.


9.




10.




1 = , 2 = , 3 = , 4

= , 5 =


1 2 3 4 5

A1
A2
A3

A4
A5

A6


A7
A8
A9


A10

7

1 = , 2 = , 3 = , 4

= , 5 =


1 2 3 4 5
SN1
3

SN2 3


SN3
3

SN4

3

SN5
3


8

1 = , 2 = , 3 = , 4

= , 5 =


1 2 3 4 5

PB1



PB2


PB3

PB4


PB5


PB6

PB7

PB8


PB9




PB10 3
PB11



PB12

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