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Questionnaire

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Submitted By phoebebe
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問卷
Questionnaire
親愛的先生/女士:
Dear Sir/Madam,
性別Gender : M F
年齡Age : 13-15 16-18 19 OR above
撫養人數No. of dependents : ___
問卷日期 月/日/年
Date survey MM/DD/YYYY was completed : ___/___/____

我是香港保良局社區學院的學生,目前在做一份有關社會研究科《香煙對年輕煙民在香港稅項不斷增加的後果》的專題報告。請你填寫下面的問卷,所有資料會被保密。 I am the student of Hkuspace-PLK Community College, and presently doing a project on social research “The consequences of continuous increase of cigarettes taxation towards young smokers in Hong Kong”. I request you to kindly fill the questionnaire below and assure you that the data generated shall be kept confidential. 學歷
Educational Qualification

中學High School 副學士 Associate Degree 大學University 其他Others 請註明 (Please specify) 你是否與家人同居?
Are you living with your family?

是 Yes 否 No

如否,你跟朋友同居嗎?
If NO, are you living with your friends?

是 Yes 否 No

1. 你曾經嘗試過吸煙,甚至一兩口?
Have you ever tried cigarette smoking, even one or two puffs?

Yes 是 (Go to Question 6 )去第6題 No 否 (Go to question 4) 去第4題 2. 什麼是你不抽煙的原因? ________________________
What is the reason that you do not smoke? __________________________

3. 如果你最好的朋友給你香煙,你會抽嗎?
If one of your best friends offered you a cigarette, would you smoke it ?

會,為什麼?(請註明) Yes, why? (Please specify) 否 No ( 感謝您完成問卷,您並不需要回答下面的問題Thank you for completing the survey, you do not need to answer the questions below) 4. 當你第一次嘗試吸煙是幾歲? _____________
How old were you when you first tried a cigarette? _____ Years Old.

5. 你是為了什麼原因開始吸煙? __________________
For what reason you start smoking? _________________

6.

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