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Castle Partnership NHS GP Surgery in Norwich

Smoking review

Smoking Review

Which surgery do you normally attend? *

Mile End Surgery

Tuckswood Surgery

Gurney Surgery

Section

I have no objections to my email address being added to my medical record as a future form of correspondence. Please note, this will only be used for actions such as sending letters to you or reminding you of reviews and will not be used for any marketing purposes.

Smoking Review

Do you currently smoke?

Yes

Do not currently smoke section

Have you smoked in the past?

Yes

How many cigarettes did you smoke in a day?

1 to 9

10 to 19

20 to 39

40 or more

Do currently smoke section

How many cigarettes do you smoke in a day?

1 to 9

10 to 19

20 to 39

40 or more

Would you like to give up smoking?

Yes

Please ask at reception for more information about giving up smoking.

I confirm that the information provided is accurate to the best of my knowledge

If you are human, leave this field blank.

Mile End Surgery
29 Mile End Road
Norwich
Norfolk
NR4 7QX

Get directions

01603 442200

Tuckswood Surgery
Hall Road
Norwich
Norfolk
NR4 6NE

Get directions

01603 447700

Gurney Surgery
40 Fishergate
Norwich
Norfolk
NR3 1SE

Get directions

01603 448800

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