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Dear Respondents,

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:__________________________________

1. What Provoked you to use Vape?

FAMILY FRIEND SCHOOL CURIOSITY NOT APPLICABLE

2. Do you consider vape as a solution to a problem?

YES NO

3. How many times do you use vape in a week?

0 1 2 3 OR MORE

4. How may times do you use cigarette in a week?

0 1 2 3 OR MORE

5. What kind of cigarette, do you prefer?


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E-CIGARETTE TABACCO CIGARETTE

6. What age have you tried cigarette? ______ yrs old.


7. What age have you tried E-cigarette? ______ yrs old.
8. Why do people use vape or cigarette as you perceive it?
_______________________________________
_______________________________________
_______________________________________
9. Did your parents know that you are using vape smoking cigarrte?

YES NO

10.Did you think,you can still stop vaping or smoking?

YES NO

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