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Worldwide survey of education on tobacco in medical schools: Twenty years on (English)

SECTION 1: DEMOGRAPHICS

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Thank you for participating in this worldwide study. Please note all questions with an asterisk (*) are mandatory.
1.First name(Required.)
2.Last name(Required.)
3.University or Affiliation(Required.)
4.Department(Required.)
5.Has a tobacco teaching program been introduced into your medical school?(Required.)
6.Faculty(Required.)
7.Your Position(Required.)
8.Email Address(Required.)
9.Country(Required.)
10.Mailing Address
11.Phone number
12.Fax number