Questionnaire

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Name
    ____________
Study: What do you study?
    ____________
Study: Do you have a lot of homework? 
Yes
No
Study: Do you study with a teacher?
Yes
No
Lifestyle: Do you have a busy lifestyle?
Yes
No
Lifestyle: Do you like to play with friends?
Yes
No
Lifestyle: Where do you go with friends?
    ____________
Home/Family: Do you live with your family?
Yes
No
Both: Sometimes I live with my family, but sometimes I live alone.

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