Survey on Habits

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Survey on Habits

Lifestyle diseases are symptomatic of everything that is wrong with today’s lifestyle. Smoking is one of the biggest public health problems because of the high risk it poses. Smoking is associated with various lifestyle diseases such as numerous respiratory disorders and other health conditions. Excessive alcohol consumption increases risk of heart disease, hypertension and diabetes. It also contributes to GERD and liver cirrhosis.

Please answer these few questions on Habits. The survey is anonymous and totally confidential. The survey will help us understand the value of this novel medium in building new relationships.


1. Do you smoke regularly?

2. Do you consume 2 to 3 alcoholic drinks per day on an average?

3. Do you drink and drive?

4. Do you take caffeinated drinks?

5. Do you use tranquilizers regularly?

6. Do you take painkillers regularly?

7. Do you have frequent late nights?

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The names and email addresses entered on this website will not be made available for any other purpose or to any other party.
The information provided by you is confidential and will not be disclosed except as part of a general research survey on Habits
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