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* 1. What is your age?

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* 2. What local government area do you live in?

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* 3. What is your cultural background?

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* 4. Which of these smoking products do you currently use (tick all that apply)

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* 5. Which option best describes you:

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* 6. How often are you exposed to second hand smoke (including from vapes, cigarettes or shisha products)

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* 7. Did you know 45 minutes of shisha or waterpipe smoking = 100 cigarettes?

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* 8. Did you know vaping products and e-cigarettes have been found to contain cancer causing chemicals, nicotine and heavy metals? 

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* 9. If you smoke or vape, rate your motivation to quit

To enter the draw to win a $50 voucher, please click here.
Please note that your entry into the prize draw is NOT connected with your responses.

Need help or support? Head on over to Youth Solutions' website www.youthsolutions.com.au

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