1. Quit Smoking West Service
The Quit Smoking West is a free friendly and supportive service for people who want to quit smoking or vaping. This service offers FREE one to one weekly support and advice on stop smoking medication from a HSE Stop Smoking Advisor. Please provide your details below and one of our Stop Smoking Advisors will give you a call to tell you more about the service. Information provided will be stored in accordance with general data protection legislation and will not be used or shared for any other purpose.
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6. What County do you live in? *
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7. Is this a Self-referral? *
8. How did you hear about our service?
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9. Please confirm this person has consented to be contacted by a Stop Smoking Advisor form the Quit Smoking West Service *