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DORSET STOP SMOKING SERVICE Note: All patient data will be kept securely and in accordance with the Data Protection Act 1998. Information can only be passed to another healthcare professional if this

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How to fill out 12 week smoking status

01

To fill out the 12 week smoking status, follow these steps:

02

Start by providing your personal information, such as name, age, and contact details.

03

Next, indicate your smoking status before the 12 week period began.

04

Specify the date when you started the 12 week smoking cessation program.

05

Describe the methods or strategies you used to quit smoking during this period.

06

Provide details about any medications or aids you used to support your cessation journey.

07

Mention any challenges or difficulties you faced while quitting smoking.

08

Indicate the frequency and intensity of cravings you experienced during the 12 weeks.

09

Lastly, mention any relapses or instances where you temporarily started smoking again.

10

Remember to be honest and accurate while filling out the form. This information helps healthcare professionals assess your progress and provide appropriate support.

Who needs 12 week smoking status?

01

Anyone who is participating in a 12 week smoking cessation program or study may need to fill out the 12 week smoking status. This includes individuals who are trying to quit smoking and are being monitored or supported throughout the 12 week period. Healthcare professionals, researchers, or organizations conducting the program may require this information to evaluate the effectiveness of the program and understand participants' progress in quitting smoking.

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What is 12 week smoking status?

12 week smoking status is a report on the smoking habits of individuals over a 12 week period.

Who is required to file 12 week smoking status?

Employers or organizations may be required to file 12 week smoking status for their employees or members.

How to fill out 12 week smoking status?

To fill out 12 week smoking status, you may need to provide information on the smoking habits of the individuals being reported on.

What is the purpose of 12 week smoking status?

The purpose of 12 week smoking status is to track and monitor the smoking habits of individuals over a specified period of time.

What information must be reported on 12 week smoking status?

Information such as the frequency of smoking, amount smoked, and any efforts to quit smoking may need to be reported on 12 week smoking status.

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