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* 1. Please indicate your age:

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* 2. Please can you say which school/young people's place you go to or stay at?

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* 3. Could you please indicate whether you are male or female?

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* 4. How much do you know now about Smoking and its effects (including health) ?

  Please choose one option:
Loads and loads
Quite a lot
A little bit
Not much at all

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* 5. Are there any members of your family or friends that currently smoke?

  Please select the options which apply to you:
Mum/Dad
Brother/Sister
Aunt/Uncle
Grandparents
Friends
None of my family or friends currently smoke

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* 6. If you don't smoke, have you felt pressured to smoke by any of the following influences?

  Please choose the options which apply to you:
Family members
Friends outside school
Students at school
Celebrities
Traditional media (tv, films, magazine articles)
New media (facebook, youtube, twitter including adverts)

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* 7. Do you smoke/or not smoke at the moment? Please be assured that the answers you give cannot be connected to you in anyway, if you can answer as truthfully as possible it will help in providing an idea of the smoking levels in schools and young peoples settings.

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* 8. What type of information informs you about smoking and tobacco now?

  Please choose one or more options:
Trusted health information wesbites
You tube clips or internet sources
Newspapers
Magazines
TV
Radio
New media forms such as Facebook, Twitter

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* 9. Which of the following 9 videos viewed or unlocked through using the website influenced you most about smoking and tobacco? Please rate the impact on a scale of 1 to 5, 1 being least influencing and 5 being most influencing.

  1 2 3 4 5
Opening video
Job Interview
Plantation Voices
Life on the Plantation
Tobacco Industry
Celebrity Endorsements
The Government
Government Minister Interview
Doctor and Relative
Nastier Chef
Introduction to the Debate

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* 10. What do you think you have learnt from using the different sections of the website? Please select as many boxes that apply to you on each of the columns.

  I plan to change my behaviour through what I have learnt I am thinking seriously about giving up smoking I've learnt how organisations and people influence tobacco I understand more about me and why I matter I've found out facts and views about tobacco and smoking I can now support friends and family more to give up smoking I've learnt more about tobacco and smoking than I knew before
Plantation - the real cost of Tobacco
Global Tobacco Inc - Keep Britain Smoking
The Department - What about the money?
You Matter! - You're important too!
The Difference - make something happen
Contact page - Useful links

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* 11. Overall how would you rate your experience of using the Young and Smoke free website?

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