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Personal information
- What is your age?
10 - 20
20 - 40
40 or up
Smoky season
- Have you experienced smoky season before?
yes
No
- Have you seen anyone burning or starting fire around where
you are?
yes
No
- Do you know the reason why people burn or start fire at this
time?
Respiratory disease
- Have you been experiencing breathing issues or feeling
uncomfortable around the chest?
Yes
no
- If yes, what symptoms are you feeling?
Breathing issues like wheezing or shortness of
breath
Continuous cough
Tightness or uneasiness in the chest area
Science Survey
Name: Susan and Bonnie