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Registration Information (Please Print)Date: ___/___/___Home Phone: ___Patient Name: ___ ___ ___Sex:Last Male FemaleFirstAge: ___Middle InitialDate of Birth: ___/___/___Mailing Address: ___ City:
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How to fill out 1-800-quit-now media fact sheet

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Step 1: Gather all the necessary information and data that will be needed for filling out the fact sheet.
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Step 2: Start by providing the basic details such as the name of the media outlet, contact person's name, and contact information.
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Step 3: Fill out the sections regarding the type of media outlet, circulation or viewership numbers, target audience, and any other relevant demographic information.
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Step 4: Proceed to provide information about any previous coverage or collaboration with 1-800-quit-now.
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Step 5: Answer the questions related to the media outlet's distribution channels, frequency of coverage, and any specific topics or formats preferred for coverage.
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Step 6: Fill out the sections regarding the desired level of partnership, potential barriers or challenges, and any specific goals or objectives for the collaboration.
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Step 7: Review the completed fact sheet for accuracy and completeness.
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Step 8: Submit the filled-out fact sheet to the appropriate contact person at 1-800-quit-now.

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Media professionals or representatives who are interested in collaborating or seeking coverage related to 1-800-quit-now would need the media fact sheet.
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Also, individuals or organizations who wish to find out more about the media presence and preferences of 1-800-quit-now can benefit from the fact sheet.
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The 1-800-quit-now media fact sheet is a resource that provides information about the national quitline service, which assists individuals in quitting smoking and tobacco use.
Organizations and entities that conduct media campaigns related to smoking cessation and utilize the 1-800-quit-now service are typically required to file the media fact sheet.
To fill out the 1-800-quit-now media fact sheet, individuals or organizations need to provide details about their media outreach efforts, including the type of media used, reach and frequency of the campaign, and how the quitline was promoted.
The purpose of the 1-800-quit-now media fact sheet is to document and evaluate the effectiveness of media campaigns in promoting smoking cessation resources, as well as to ensure compliance with reporting requirements.
Information that must be reported includes the types of media used, the dates and times of the campaigns, the audience reach, the frequency of advertisements, and specific messages promoting the 1-800-quit-now service.
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