Smoking Review

Do not use this online messaging service for urgent queries. If you have any chest pains, severe shortness of breath or any signs of stroke i.e. any weakness of face or limb or difficulty in speech, please call 999. Please visit our Practice Demand page for more information and we would link to the message.

If you have been advised by the surgery to submit a smoking review on a regular basis please use this form.

Smoking Review

Smoking Review

Smoking Review

Do you currently smoke?

Do not currently smoke section

Have you smoked in the past?
How many cigarettes did you smoke in a day?

Do currently smoke section

How many cigarettes do you smoke in a day?
Would you like to give up smoking?
*

Please ask at reception for more information about giving up smoking.