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Coltishall Medical Practice NHS GP Surgery in North Norfolk

Smoking review

Smoking Review

Section

Ethnicity

Please specify the ethnic group you consider you belong to: *

White British

White Irish

Black Caribbean

Black African

Black Caribbean and White

Black African and White

Indian

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Smoking Review

Do you currently smoke? *

Yes

Do not currently smoke section

Have you smoked in the past? *

Yes

How many cigarettes did you smoke in a day? *

1 to 9

10 to 19

20 to 39

40 or more

Do currently smoke section

How many cigarettes do you smoke in a day? *

1 to 9

10 to 19

20 to 39

40 or more

Would you like to give up smoking?

Yes

Join the millions of people who have used Smokefree support to help them stop smoking. From email and text, to our free app and lots of other support, you can choose what’s right for you. For more information visit the Smokefree website.

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St. John’s Close
Coltishall
Norfolk
NR12 7HA

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01603 737593

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