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Name: ____________________________________
Age: _____
Questions:
1. What can you say about your life having an air pollution?
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2. Do you have any idea to keep your health far from any viruses coming from the air?
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3. Is it okay for you to have this mask as a protection for you and your family?
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4. Is the design will be comfortable for you to wear it? If not, can you suggest any recommendation
about the design?
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5. What should be the amount of the product considering its quality? According to your
recommended design?
o 200-300
o 300-400
o 500
o Others (Please specify) ________
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SIGNATURE