Positive Smoke-Free Role Models Pledge
Your Info
Start Date
-
Day
-
Month
Year
Date
Please tell us your postcode
Your Pledge
I want to
Pledge my commitment to North Lanarkshire Positive Smoke-Free Role Models
Volunteer to support North Lanarkshire Positive Smoke-Free Role Models
Both
Type a question
To stop smoking/vaping
To not smoke/vape near children or pets
Encourage others to stop smoking/vape
Help a friend to stop smoking/vaping
To find an alternative to smoking/vaping
Help others to find alternatives to smoking/vaping
Speak to children/grandchildren about the dangers of smoking, vaping and secondhand smoke
To promote not smoking/vaping at work
Share positive smoke free messages on social media and other communications
Other
Please tell us how many of the following groups will be positively affected by your pledge.
Total Number Supported
Children
Grandchildren
Pets
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