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Your feedback on the
CDPHP®
Smoke-Free
™ website
For questions or help to quit smoking or vaping please
contact us
or call
1-866-697-8487
.
*
1.
What brought you to CDPHP®
Smoke-Free
™?
(Please select all that apply)
(Required.)
I am a
current smoker
looking to quit
I am a
former smoker
looking to stay quit
I
currently vape
and am looking to quit
I
formerly vaped
and am looking to stay quit
I am a
family or friend
of someone who smokes or vapes
I am a
physician or health care provider
looking for patient services
I am an
employer or educator
interested the services CDPHP Smoke-Free provides
Other (please specify)
*
2.
How did you find our website?
(Please select all that apply)
(Required.)
The CDPHP® website
The New York State Smoker's Quitline
Advertisement (TV, Radio, and/or Bus etc.)
Social Media (Facebook, Twitter, Instagram, LinkedIn, YouTube, Pinterest, etc
.
)
My healthcare provider or doctor
Family or friend
Print materials, such as a factsheets, brochures, flyers, or posters
Internet search such as Google, Bing, etc.
Other (please specify)
*
3.
The website was user-friendly, or easy to use.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
*
4.
I found the website helpful.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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