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How old are you?
13
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30+
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Do you think you will smoke a cigarette (even 1 or 2 puffs) in the next year?
Definitely not
Probably not
Probably yes
Definitely yes
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Do you think you will use a vape (even 1 or 2 puffs) in the next year?
Definitely not
Probably not
Probably yes
Definitely yes
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I would like to explore strange places
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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I would like to try parachute-jumping
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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I like wild parties
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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I get restless when I spend too much time at home
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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I like spending time with my family
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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Nothing is true or real except for you, yourself
Strongly Disagree
Disagree
Neither Agree/Disagree
Somewhat Agree
Strongly Agree
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Life is meaningless
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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Nothing really has any value; what we give value to is our choice
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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Things happen for a reason
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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People should try to live a healthy lifestyle
Strongly Disagree
Disagree
Neither Agree/Disagree
Agree
Strongly Agree
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How likely would you be to go camping in the wilderness
Very Unlikely
Somewhat Unlikely
Not Sure
Somewhat Likely
Very Likely
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How long will you spend on self-care today?
No time today, maybe tomorrow!
30 minutes
1 hour
2 hours
The whole day!
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What’s your ideal vacation?
Big city/packed schedule
Camping and hiking
A sunny beach retreat
Cross country road trip
Volunteer trip abroad
Anywhere without my phone.
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What’s your favorite thing about yourself?
I’m the life of the party.
I'm passionate...about everything.
I love the environment.
I love helping people.
I’m creative.
I’m up for trying new things.
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The worst question yet!
Share your details so we can message you occasionally?
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