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Name- _______________________

_______________________
gender
Male

female

both

age0-10

11-20

21-35

36+

statussingle
married
do you have a job?
Yes

engaged

divorced

No

What job do you do?


How often do you read magazines?

Never

every week

once a month

If you do what magazines do you read?


1.
_________________________
2.
_________________________
3.
_______________________
4.
_______________________
5.
_______________________

more than once a month

other

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