You have been asked to study the reasons for increasing smoking and drinking habits among the university students. Now prepare a questionnaire to be sent to the students of various universities to obtain their views on this issue. Your questionnaire should consist of twenty questions apart from the personal details.
Questionnaire on Smoking and Drinking Habits Among University Students
Personal Details:
Name (Optional): ______________________________
Age: ______
Gender: [ ] Male [ ] Female [ ] Other
University Name: ______________________________
Year of Study: [ ] 1st [ ] 2nd [ ] 3rd [ ] 4th [ ] Other
Field of Study: ______________________________
General Questions:
7. Do you smoke?
[ ] Yes [ ] No
8. If yes, how often do you smoke?
[ ] Daily [ ] Occasionally [ ] Only at social events
9. At what age did you start smoking? ______
10. What are the primary reasons for your smoking habits? (You may select more than one)
[ ] Peer pressure [ ] Stress relief [ ] Influence of family or environment [ ] Just for fun/experimenting [ ] Addiction [ ] Other (please specify): _______________
11. Do you drink alcohol?
[ ] Yes [ ] No
12. If yes, how often do you drink?
[ ] Daily [ ] Weekly [ ] Occasionally [ ] Only at social events
13. At what age did you start drinking alcohol? ______
14. What are the primary reasons for your drinking habits? (You may select more than one)
[ ] Peer pressure [ ] Stress relief [ ] Family influence [ ] Just for fun/experimenting [ ] Addiction [ ] Other (please specify): _______________
15. Do your friends or peers influence your smoking or drinking habits?
[ ] Strongly [ ] Moderately [ ] Not at all
16. Do you feel that academic pressure contributes to smoking or drinking habits?
[ ] Yes [ ] No
17. Have you ever tried to quit smoking or drinking?
[ ] Yes, successfully [ ] Yes, but unsuccessfully [ ] Never tried
18. Do you believe university life encourages smoking and drinking?
[ ] Yes [ ] No [ ] Not sure
19. Do you think smoking and drinking have affected your academic performance?
[ ] Yes, negatively [ ] No impact [ ] Not sure
20. What measures do you think can help reduce smoking and drinking habits among students? ___________________________________________________ ___________________________________________________
21. Would you be interested in participating in awareness programs related to smoking and drinking?
[ ] Yes [ ] No [ ] Maybe
Thank you for your time and valuable input!
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