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QuitKit Feedback
Thank you for taking the time to complete our feedback survey! We value your opinion. Please note, all surveys are kept anonymous.
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1.
Which QuitKit did you receive?
Regular Smoking-English
Regular Smoking-Spanish
Regular Smoking-Native American
Pregnant Women-English
Pregnant Women-Spanish
Pregnant Women-Native American
Chew Tobacco-English
Chew Tobacco-Spanish
Chew Tobacco-Native American
E-Cigarettes
Youth
*
2.
Did you find the QuitKit encouraged you to seek further information or reach out/enroll in a cessation program such as the QuitLine?
(Required.)
YES
NO
*
3.
Did you find the materials included in the QuitKit were educational?
(Required.)
YES
NO
4.
Was there any information you wish was included in the QuitKit?
5.
Was there any resource included in the QuitKit that was not at all helpful? Very helpful?
6.
Please include any additional questions, concerns, or feedback regarding the QuitKit. Use may also use this space for further clarification for previous questions.
Current Progress,
0 of 6 answered