Episode Five - Courtney Dawson

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* 1. Name

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* 2. Email address

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* 3. Ethnicity

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* 4. How old is Courtneys son?

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* 5. Do you smoke or vape? Would you like help to quit?

Yes and Yes

Yes and No

No and No

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* 6. If you ticked "Yes and Yes" to question five. Please leave your number below and we will get in touch.