Smoking Review

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Quit smoking

Smoking Review 

If you have been advised by the practice to submit a smoking review please complete and submit this form.

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All questions marked with a * are mandatory

Personal Details
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Smoking Review
Do you currently smoke?: *
Have you smoked in the past?: *
How many cigarettes do you smoke in a day?: *
How many cigarettes did you smoke in a day?: *
Would you like to give up smoking?: *
Stop Smoking

Steps to quit smoking

Stopping smoking lets you breathe more easily. People breathe more easily and cough less when they give up smoking because their lung capacity improves by up to 10% within 9 months.

  NHS Stop Smoking Services

  Take steps now to stop smoking

  10 self-help tips to stop smoking

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Providing NHS Services

Grange Road Surgery
Grange Road
Bishopworth
Bristol
BS13 8LD

Telephone: 0117 964 4343

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