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Survey to NYSDA Members from the New York State Quitline - May 2026
The
New York State Quitline
is a service supported by the New York State Department of Health and based at Roswell Park Comprehensive Cancer Center in Buffalo, N.Y. The New York State Quitline encourages those who use commercial tobacco and electronic/vape products to talk with their healthcare professionals and access available Medicaid or health insurance benefits for medication support. All health care professionals can assist patients in accessing the New York State Quitline’s free services, including personal coaching, by calling
1-866-NY-QUITS
(1-866-697-8487) or visiting
NYSmokeFree.com
to reach a specialist through chat or text. The website also offers an option to
order free nicotine replacement therapy medications
as well as registration for
free text-support programs
. Website visitors can also order, print, or download
free office resources
.
By completely the following brief and confidential survey, you will assist the New York State Quitline with its outreach efforts and provide an opportunity to help you assist your patients with becoming and staying tobacco-free. Thank you!
*
How would you describe your level of familiarity with the New York State Quitline?
(Required.)
Very familiar
Somewhat familiar
Have heard the name, but not familiar with offerings
Not at all familiar
*
How confident are you in talking with your patients about their tobacco product use?
(Required.)
Not at all confident
Somewhat confident
Extremely confident
Clear
*
Do you refer patients to the New York State Quitline by providing information or materials (e.g., brochures, cards, verbal guidance)?
(Required.)
Yes
No
*
Do you currently refer patients to the New York State Quitline's Patient Referral Program (e.g., direct referral)?
(Required.)
Yes
No
Unsure
Not applicable
*
Have you ever ordered, downloaded, saved, or printed educational materials or resources from the New York State Quitline's website,
NYSmokeFree.com
?
(Required.)
Yes
No
*
Would you like to receive monthly e-mails from the New York State Quitline, including webinar announcements, quarterly newsletters, and major service updates?
(Required.)
Yes
No
If you indicated yes to the question above,
please click here
to join our listserv. Thank you!
Please email Patricia Bax, RN, MS, NCNTT, Marketing and Outreach Coordinator, at
patricia.bax@roswellpark.org
if you have questions or would like to be contacted regarding our referral programs.
