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* 1. How old are you?

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* 2. Are you male or female?

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* 3. In what city do you live? (if Kelowna, what area?)

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* 4. What is your yearly household income? (Check all that apply)

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* 5. Are you currently:

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* 6. Where do you go to get together with friends &/or family?

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* 7. How much do you typically spend, in CDN dollars, on a typical outing with friends/family?

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* 8. Have you smoked Hookah/Sheesha/Nargile?

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* 9. If you answered Yes to the previous question: How frequently do you smoke Hookah/Sheesha/Nargile?

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* 10. How likely would you be to frequent an establishment that offers Hookah/Sheesha/Nargile if one were operating in Kelowna?

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