Smoking Status

To help us update your patient records with your smoking status, please take a couple of minutes to fill in our smoking questionnaire.

Please complete the questionnaire whether you smoke, are an ex-smoker or a non-smoker.

Smoking Questionaire

it only takes a couple of minutes to complete

Smoking Review

Name
Date of Birth
Email

Smoking Review

Do you currently smoke?
Have you smoked in the past?
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