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Going #smokefree
Have your say on how going #smokefree across our Trust will affect you.
1.
Are you aware that SWBH NHS Trust is going smoke free across all sites from 5th July 2019?
Yes
No
2.
If yes, how did you know? Or where did you hear about it?
3.
Are you a
Patient
Visitor
Staff member
Other
4.
Do you currently use any tobacco, NRT or vaping products?
Yes, I smoke cigarettes
Yes, I vape
Yes, I smoke cigarettes and vape
No, I do not currently use any tobacco or vaping products
Yes, I use NRT
Other (please specify)
5.
If you smoke, how many breaks do you take to smoke at work?
0
1
2
3
4
5 or more
6.
If you smoke, are you interested in help to stop smoking?
Yes
No
Not at this time
7.
Would you be interested in:
Free nicotine replacement therapy?
Swapping your cigarettes for a vaping product?
8.
If you smoke and wanted to stop, do you know how to access
help to stop smoking?
Yes
No
9.
Have you tried to stop smoking or reduce your smoking previously?
Yes
No
10.
If you would like someone to contact you with information on how to access support to stop smoking please advise your email address.
11.
If you are a smoker and you use our Trust sites, what impact will the ban have on your smoking habits?
12.
Are you exposed to second hand smoke within SWBH NHS Trust grounds?
Yes
No
13.
Are you concerned about the effects of second hand smoke on your health?
Yes
No
14.
Is there anything the Trust can do to make the change into a smoke free site easier?
15.
Please state your age.
16.
Please state your gender.
Current Progress,
0 of 16 answered