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| Q.1 |
How much do you pay for a pack of cigarettes? |
$ |
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| Q.2 |
How many cigarettes are you smoking each day? |
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| Q.3 |
When did you start smoking? (day | month | year) |
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Cost per day: |
$ |
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Cost per week: |
$ |
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Cost per month: |
$ |
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Cost per year: |
$ |
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Cost if you continue smoking for years |
$ |
| A. |
Total cost to date: |
$ |
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