Feedback Survey

 First time
 Less than once a month
 Once or more a month
 Once or more a week
 Daily

 EMail
 Text Message
 Phone Call
 None

 Yes
 No

Some information about yourself

 Under 18 years of age
 18-24 years old
 25-34 years old
 35-49 years old
 50-64 years old
 65+ years of age

 Male
 Female

 Asian & Pacific Islander
 Black
 Hispanic / Latino
 White
 Prefer Not to Answer

 Yes
 No

Smoking Fact

Cigarette smoking is currently at a lower rate than at any point since the start of World War II. However, an estimated 25 percent of men and 20 percent of women still smoke cigarettes.