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1. Freedom Village Quit Smoking Forum Survey

 
Your answers and comments to these nine questions are PRIVATE and seen only by BubbaJames. I will review this survey weekly and may implement changes to this forum as dictated by you, the user of this free quit smoking resource. Results will be posted (not your personal info) to The BubbaJames Happenings when published and always be assured your privacy will be respected. Please feel free to email James at james11155 at yahoo.com

1. How did you find this website?

2. Are you a cigarette.......

3. What can BubbaJames do to help you quit and stay quit from cigarette smoking?

4. Do you have a social network site or website? You may select all that apply.

5. If you maintain a website or social network page would you be willing to exchange links with Freedom Village Forum?

6. If you are an ex-smoker (six months or longer) what is your quit date?

 MM DD YYYY 
I took control of my life on
/
/
 

7. Are you willing to allow us to place your Name (real or anonymous), state/country and date on our Achiever's Anniversary List? Please list below in "Yes".

8. All quit smoking dates are important, whether it is a day or a month but there is something special about a year, two, three, four, five, ten, etc. Would you like BubbaJames to present (mail) an award of a plaque, certificate or some other recognition to Freedom Village Forum Quit Smoking Achievers on these special milestones with the individuals approval?

9. Would you please provide the following information?

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