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SMQACASISMOKING HISTORY & ETS (SMQ) SPID#:___Date:___Interviewer#:___The next questions are about your history of smoking. The next set of questions will take about 10 minutes.1. [SMQ.020] Have you
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How to fill out smoking history and ets

01
Start by providing the date when you started smoking and how many cigarettes per day you typically smoked.
02
Include any periods of time when you quit smoking and if you have started smoking again.
03
List any other forms of tobacco use, such as cigars or pipes.
04
For ETS (Environmental Tobacco Smoke), provide information on whether you are exposed to secondhand smoke at home, work, or other places.
05
Include the duration and frequency of exposure to ETS.

Who needs smoking history and ets?

01
Healthcare providers, doctors, and researchers may need smoking history and ETS information to assess the impact of tobacco use on an individual's health.
02
Insurance companies may require smoking history to calculate premiums for life and health insurance policies.
03
Employers may request smoking history to enforce workplace smoking policies and provide a smoke-free environment for employees.
04
Government agencies and public health organizations may use smoking history data to track trends in tobacco use and develop targeted interventions for smoking cessation.
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Smoking history refers to an individual's past tobacco use, including types and duration of smoking. ETS stands for Environmental Tobacco Smoke, which includes both mainstream smoke inhaled by smokers and sidestream smoke emitted from the burning end of a cigarette or other tobacco products.
Individuals, entities, or organizations that are required to disclose smoking history and ETS information often include healthcare providers, employers, and facilities that provide residential care or healthcare services.
To fill out smoking history and ETS forms, gather accurate information regarding tobacco use, including duration, frequency, and types of tobacco products used. Follow the specific guidelines provided in the filing instructions to ensure all required fields are completed correctly.
The purpose of documenting smoking history and ETS is to assess health risks, develop treatment plans, ensure compliance with health regulations, and inform public health initiatives aimed at reducing tobacco use and exposure to secondhand smoke.
The report typically requires information on the individual's smoking status, duration of use, frequency of use, types of tobacco products used, and exposure to ETS, among other relevant health information.
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