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We invite you to participate in the gathering activity relative to the research that this group is
presently/ in partial fulfilments of the requirements in our English Subject.
The main focus of our research is about e-cigarette.It is hoped that you would honestle and
patiently answer the questions presented in this questionnaire.
Thank you so much!
NAME:_____________________________________
GRADE/SECTION:__________________________
AGE:_______
SEX:________
CONTACT NO.(OPTIONAL)__________________
ADDRESS:__________________________________
YES NO
0 1 2 3 OR MORE
0 1 2 3 OR MORE
YES NO
YES NO
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