If you work in health insurance, the medical industry, or public policy, send out our online smoking survey to learn about people's smoking habits or collect smoking statistics.
What's in the Smoking?
Launch this form as-is or customize it to your heart's content!Use This Form
Our smoking survey asks what definition people have of someone who smokes. Is it someone who smokes only socially, or is it someone who smokes every day? The survey also asks how many cigarettes someone smokes a day and how much someone spends on cigarettes in a typical month. Our form is quick to email out, or you can embed it into your website.