Starting conversations about smoking!

Thank you for participating in this survey. We hope that the results of this survey will enable us to make changes to support midwives to feel confident to use our service and increase referrals and in turn cessation rates for the pregnant women in our community.

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* 1. 1.      Approximately what % of your caseload are current smokers?

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* 2. Do you feel comfortable asking your clients if they smoke?

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* 3. Do you feel confident to provide smoking cessation advice?

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* 4. What would enable you to feel more confident to discuss smoking cessation with your clients?

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* 5. Do you know about the Te Ha Waitaha / Stop Smoking Canterbury Pregnancy Incentive Programme (PIP)?

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* 6. If you have referred clients to the PIP, how was easy to do so?

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* 7. What barriers have you experienced that prevented you from referring clients to the PIP?

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* 8. A student midwife is carrying out research to identify the enablers and barriers to referring Hapu Mama to the PIP. 
Would you be willing to attend a focus group (lunch and petrol voucher provided) to assist her for approximately 30 - 45 minutes?

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* 9. Please enter your contact information below. We will only contact you if you have indicated it is okay to do so. If you would prefer to stay anonymous that is fine but please let us know if you currently work as an LMC or core midwife or both.

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