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" So the lads aren't afraid of kissing me because I stink of smoke."Lisa, Bebington
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Sex Male Female
Date of Birth 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999
Occupation Not stated Routine/manual Intermediate Managerial/professional Home carer Retired Sick/disabled Full time student Unable to code Unemployed
Are you employed by: NHSAsdaWirral NewsNone of the above
Are you pregnant? No Yes
Which Wirral GP are you registered with? Not registered with a Wirral practice Allport Surgery Blackheath Cavendish Medical Centre Central Park Medical Centre Church Road Medical Centre Civic Medical Centre Claughton Medical Centre Commonfield Road Surgery Devaney Medical Centre Earlston Road Surgery Eastham Group Practice Egremont Medical Centre Fender Way Health Centre Field Road Health Centre Gladstone Medical Centre Greasby Group Practice Greenway Road Surgery Grove Medical Centre Grove Road Surgery Hamilton Medical Centre Heatherlands Medical Centre Heswall Medical Centre (& Pensby Surgery) Holmlands Medical Centre Hoylake Road Medical Centre Hoylake & Meols Medical Centre Kings Lane Medical Centre Leasowe Primary Care Centre Leasowe Surgery Liscard Group Practice Manor Health Centre Mill Lane Medical Centre Miriam Medical Centre Moreton Cross Group Practice Moreton Health Clinic Moreton Medical Centre Park Medical Centre Parkfield Medical Centre Parkfield Medical Centre Prenton Medical Centre Riverside Surgery St. Georges Medical Centre St Hilary Brow Group Practice Seabank Medical Centre Silverdale Medical Centre Somerville Medical Centre Spital Surgery Teehey Lane Medical Centre The Orchard Surgery Upton Group Practice Victoria Park Health Centre Villa Medical Centre Vittoria Medical Centre Vittoria Medical Centre Wallasey Village Group Practice West Kirby Health Centre West Kirby Health Centre West Kirby Health Centre West Wirral Group Practice Whetstone Medical Centre Woodchurch Road Surgery Registered but not stated Not stated
Ethnicity White British White Irish Any other white background - please state in box below Mixed: White and Black Caribbean Mixed: White and Black African Mixed: White and Asian Any other mixed background - please state in box below Asian/ Asian British - Indian Asian/ Asian British - Pakistani Asian/ Asian British - Bangladeshi Any other Asian background - please state in box below Black or Black British - Caribbean Black or Black British - African Any other Black background - please state in box below Chinese Any other ethnic group - please state in box below Not stated
Other Ethnicity
How did you find out about us? Leaflets Newspaper Radio Phone call Website Word of mouth Trailer/bus Not stated
How many do you smoke a day? 5 10 15 20 30 40 50+
Your reason for quitting Better health More cash Loved ones My appearance My own reason Not stated
Write your own reason
Share your reason with others? YesNoNot stated
Are you ready to quit now? Don't worry if you aren't
YesNo