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Hypnosis Columbia LLC 5570 Sterrett Place, Suite 310 Columbia, MD 21044 Hypnosis Columbia gmail.com www.hypnosiscolumbia.com (443) 6869645//(443)7585957 Confidential Quit Smoking Questionnaire Name:

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What is smoking cessation questionnaire?

Smoking cessation questionnaire is a form that collects information about an individual's smoking habits and efforts to quit smoking.

Who is required to file smoking cessation questionnaire?

Employers may be required to file smoking cessation questionnaire for employees who are smokers or former smokers.

How to fill out smoking cessation questionnaire?

The smoking cessation questionnaire can be filled out by providing accurate information about smoking history, quit attempts, and related information.

What is the purpose of smoking cessation questionnaire?

The purpose of smoking cessation questionnaire is to assess smoking habits, provide resources for quitting smoking, and track progress towards cessation.

What information must be reported on smoking cessation questionnaire?

The smoking cessation questionnaire may require information about smoking frequency, number of cigarettes smoked per day, quit attempts, and any smoking cessation programs utilized.

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