QuitKit Feedback

Thank you for taking the time to complete our feedback survey! We value your opinion. Please note, all surveys are kept anonymous.

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* 1. Which QuitKit did you receive?

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* 2. Did you find the QuitKit encouraged you to seek further information or reach out/enroll in a cessation program such as the QuitLine?

YES

NO

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* 3. Did you find the materials included in the QuitKit were educational?

YES

NO

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* 4. Was there any information you wish was included in the QuitKit?

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* 5. Was there any resource included in the QuitKit that was not at all helpful? Very helpful?

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* 6. Please include any additional questions, concerns, or feedback regarding the QuitKit. Use may also use this space for further clarification for previous questions.