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Dear Prevention Video Presenter:Please make copies of this questionnaire for the viewers to fill out after the video is shown. Thanking you in advance. 1. What is this video about? 2. What did you like most about this video? 3. What did you like least? 4. Do you have friends, parents or brothers or sisters who smoke? 5. Why are cigarettes bad for you if you want to play sports? 6. Did the teens in the video enjoy smoking cigarettes? 7. What do you think it would be some good reasons to avoid smoking cigarettes? 8. What else did you learn from watching the video? 9. Do you think other friends of yours would like to see the video? 10. Who showed the video to you? 11. What is your age? Please send completed questionnaires to:
Prevention Video Corporation
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