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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

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-1 - Question identifier:GAM_R001

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-1 - Question identifier:GAM_Q005

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q010

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q015

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q020

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q025

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q030

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q035

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q040

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  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: Two or three times a month
  • 5: Once a week
  • 6: Several times a week
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q045

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  • 1: Online
  • 2: In person
  • 3: Both
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_R050

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-1 - Question identifier:GAM_Q050

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q055

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q060

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q065

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q070

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q075

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q080

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q085

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK

-1 - Question identifier:GAM_Q090

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  • 1: Never
  • 2: Sometimes
  • 3: Most of the time
  • 4: Almost always
  • 8: RF
  • 9: DK
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