Student Assent

  • In this survey you are being asked to answer questions about your knowledge, attitudes and experience with E-Cigarettes. The data from this survey will be used to help kids your age all over the country.
  • This survey is anonymous. No one at school or at home will see your answers.
  • Taking part in this survey is up to you. Participating will not affect your grades in school or your ability to join any school activities.
  • If you do not want to answer a question, you can skip it.
  • You may stop taking part in this survey at any time.
  • By completing this survey, you agree to take part in this survey.

Question Title

* 1. Please complete the following:

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