Survey for pregnant smokers

We are conducting a survey for pregnant smokers in Tower Hamlets to find out, what would help to increase the numbers of women accessing the stop smoking service. And the types of support they would be interested in to help them quit smoking. We are keen to listen to the views of pregnant smokers, so we can look to provide tailored and suitable service for them.

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* 1. Have you been referred to Tower Hamlets Stop Smoking Service (Quit Right Tower Hamlets) by your midwife or GP?

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* 2. If No please choose from the following:

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* 3. Did you have a carbon monoxide breath test at your first booking appointment with the midwife?

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* 4. Were you offered nicotine replacement like patches or gum by your midwife to help you stop smoking?

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* 5. Please choose one from the following list. What would make you want to attend the stop smoking service? (If this was provided along with support and nicotine replacement to help you quit smoking)

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* 6. Many thanks for your assistance in completing this survey.

If you would like to join the service and the new scheme in January, please call Quit Right Tower Hamlets on 020 7882 8230.

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