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Take this survey and be entered to win a gift card!

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* 1. I am a resident of:

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* 2. I am _______ years old.

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* 3. I heard about the Not My Lungs campaign via the following:  (check all that apply)

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* 4. After reviewing the information on this website, how much do you think people risk harming themselves if they use electronic vapor products.

Add your name and contact information on page two and be entered to win a gift card!

We will not use your name and contact information for anything other than to contact gift card winners.  Your survey answers will remain anonymous and will not be connected with your personal information collected for the gift card drawing. 
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