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1. How old are you? (Required.)

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2. Are you male or female? (Required.)

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

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

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5. Are you currently: (Required.)

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

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

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8. Have you smoked Hookah/Sheesha/Nargile? (Required.)

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

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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? (Required.)

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