Our decisions on health products and health procedures are
a. affected by several external factors
b. made without any information or influence
c. not affected by the media
d. only based on facts

Our decisions on health products and health procedures are affected by several external factors (Option A)  

Explanation:  

There are many factors that influence our decisions related to health. The information that has been provided to us through different platforms like media, schools can play a major role since media has a lot of impact on people. The advertisements that we see also plays a vital role in decision making.  

even though you have attached neither the chart nor the generalizations, i have located them online. the right answer is d, since they are asking you about a generalization. you can only infer from the chart that between 2008 and 2009 the number of employed workers decreased significantly (from over 115 millions to 107 millions approximately), which signals some type of economic crisis.