About This Survey

This survey has been designed to gain expressions of interest from people living, studying and working in the Pyrenees Shire who are smokers, were smokers or are family and community members who would like to offer support bringing about positive change in the Pyrenees Shire.

Fact: 1 in 4 people in the Pyrenees Shire smoke

In seeking to achieve our priority in the Municipal Public Health and Well-being Plan to reduce smoking statistics, we are seeking your support.

If you are happy for a Pyrenees Shire Council staff member to contact you regarding future events and activities relating to smoking, please complete the survey with your contact details.

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* 1. Your Name:

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* 2. Email contact details:

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* 3. Phone contact details:

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* 4. What is your interest in Smoking Cessation?

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