Intake Reduction

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* 1. Contact Information

Name

Email Address

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* 2. Select all that apply

I would like to be paired with another state to review each other's quitline intake.

I would like TA from NAQC on reducing the length of intake.

I would like to join a NAQC workgroup to review the MDS intake questions.

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* 3. Please share any concerns or challenges you have with the intake process.