Questionnaire For Health Awareness

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Questionnaire for Health Awareness

Name:
Age:
Sex:

1. Do you brush everyday?

2. Kinds of habits:

Alcohol:

Tobacco:

Smoking:

3. Availability of vaccination:

4. Basic facilities:

Drinking water:

Sanitation:

5. Menstrual cycle:

Duration:

Usage of sanitary napkin or cloth:

6. Do you know about cancer?

7. Types of cancer:

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