Stop Smoking questionnaire IntroductionThe public health teams in Leicester, Leicestershire and Rutland will soon be putting in place a new stop smoking service.To help them put the right service in place, they would like to know about what helps smokers to stop smoking. Please take a few moments to complete this questionnaire so that the smoking cessation service is tailored to local needs. The survey closes at midday on Friday 9 May 2014 Question Title * 1. Do you smoke? Yes No If No, please go to question 5 Question Title * 2. If yes, have you ever tried to give up smoking? Yes No If No, please go to question 4 Question Title * 3. How many times have you tried to give up smoking? 1 - 5 6 - 10 More than 10 Now please go to question 6 Question Title * 4. What would encourage you to quit or cut down? Question Title * 5. Have you ever smoked? Yes No Next
