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Have you smoked cigarettes during the past year?
Yes
No

Do you watch more than 2 hours of TV per day?
Yes
No

Have you drank more than 4 cans of beer in the past month?
Yes
No

Have you used illegal drugs in the past year?
Yes
No

Have you had unprotected sex during the past 6 months?
Yes
No

Do you have more than 2 close friends?
Yes
No