Smoker questionnaire
This form helps us, at FreeYourMind.UK and MindHealer.com, to understand your relationship with smoking, before starting to help you to become a non-smoker. There are 17 questions in 4 sections.
Name *
Your answer
How many do you smoke per day? *
Your answer
How much do you spend smoking each week? *
Your answer
What does smoking do for you? *
Your answer
What do you like about smoking? *
Your answer
What do you dislike about smoking? *
Your answer
Next
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