Smoking & Vaping Survey

Please provide your best answers for the questions below. If you have no response to offer, or if a question doesn’t apply to you, please enter NA for any such questions. Thank you so much for completing this survey!

Thank you again for taking time out of your—no doubt busy—day to complete this survey. Your responses may be included in my smoking cessation books or programs, used in conjunction with other survey participants’ data, or may be used for marketing purposes. By submitting your responses to this survey, you give me permission to use your responses in any way for my smoking cessation program and business. I do not collect names, or other personal information, of survey participants, or add you to a mailing list.