1. Surveys
  2. 2011
  3. July
  4. S
  5. Smoking
0%
Exit Survey »
 
 
1. Kia Ora
You are invited to participate in our survey. In this survey, people will be asked to complete a survey that asks questions about smoking. It will take approximately 2 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
2. Do you smoke?
 
Yes
 
No
 
Ex-smoker
 
 
 
3. Would you like help to quit?
 
Yes
 
No
 
 
 
4. Have you tried to quit before?
 
Yes
 
No
 
 
 
5. What methods have you used to try and quit?
 
Patches
 
Gum
 
Champix
 
Other
 
 
 
 
6. Are you male or female?
 
Male
 
Female
 
 
 
7. What ethnicity do you most identify with?
 
New Zealand European
 
Maori
 
Samoan
 
Tongan
 
Other
 
 
 
 
8. How old were you at your last birthday?
   
 
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