Questionnaire on the current situation of smoking cessation ... - IUMSP
Questionnaire on the current situation of smoking cessation ... - IUMSP
Questionnaire on the current situation of smoking cessation ... - IUMSP
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5. Who is clinically resp<strong>on</strong>sible for providing this service (you can choose<br />
several answers)<br />
Physicians<br />
Please specify (if you can) <strong>the</strong>ir speciality: _____________<br />
_______________________________________________<br />
Nurses<br />
Please specify (if you can) <strong>the</strong>ir speciality: _____________<br />
_______________________________________________<br />
O<strong>the</strong>r health care pr<strong>of</strong>essi<strong>on</strong>als<br />
Please specify (if you can) <strong>the</strong>ir pr<strong>of</strong>essi<strong>on</strong>: ____________<br />
_______________________________________________<br />
Do not know<br />
Comments: _________________________________________<br />
___________________________________________________<br />
___________________________________________________<br />
6. Is <strong>the</strong>re any formal <strong>smoking</strong> cessati<strong>on</strong> training for <strong>the</strong>se health care<br />
pr<strong>of</strong>essi<strong>on</strong>als who provide <strong>the</strong> service <strong>of</strong> <strong>smoking</strong> cessati<strong>on</strong> counselling<br />
Yes<br />
Please specify (if you can) what type <strong>of</strong> formal <strong>smoking</strong><br />
cessati<strong>on</strong> training and for whom it is available: _________<br />
_______________________________________________<br />
_______________________________________________<br />
No<br />
Do not know<br />
Comments:<br />
_________________________________________<br />
___________________________________________________<br />
___________________________________________________<br />
7. In general, is <strong>the</strong>re any <strong>smoking</strong> cessati<strong>on</strong> counselling available for<br />
<strong>smoking</strong> health care pr<strong>of</strong>essi<strong>on</strong>als working in <strong>the</strong> hospital<br />
Yes<br />
No<br />
Do not know<br />
Comments: _________________________________________<br />
___________________________________________________<br />
___________________________________________________
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