Please answer the quick 3-minute survey as it helps measure the impact the comic book or short film "Life in Smoke" had on you!
Sign in to Google to save your progress. Learn more
How old are you? (Numbers only) *
Are you currently smoking or vaping? *
Did you find the comic book/short film helpful? *
If you are currently smoking/vaping or plan to do so in the next 6 months, did this comic book persuade you not to smoke or vape? *
Do you know anyone who currently smokes and or vapes? *
Would you recommend this comic book/short film to someone? *
Any final thoughts or comments about the comic book/short film? (Not required, but recommended)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy