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

SECTION 1: DEMOGRAPHICS

17% of survey complete.

Thank you for participating in this worldwide study. Please note all questions with an asterisk (*) are mandatory.

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* 1. First name

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* 2. Last name

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* 3. University or Affiliation

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* 4. Department

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* 5. Has a tobacco teaching program been introduced into your medical school?

Yes

No

Don' Know

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* 6. Faculty

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* 7. Your Position

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* 8. Email Address

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* 9. Country

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* 10. Mailing Address

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* 11. Phone number

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* 12. Fax number