Derbyshire Vaping - Used to smoke,vape or both

Used to smoke,vape or both

Questionnaire for those who used to smoke, vape or both.
1. What is your age group?

18-2425-3435-4445-5455-6464 or over
2. What best describes your gender?

FemaleMaleNon-binaryUnsure how to describe myselfPrefer not to sayOther
3. What is your ethnic group?

White BritishWhite OtherMixedAsian/Asian BritishBlack/Black BritishChineseOther
A disabled person is someone who has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.
4. Do you consider yourself disabled?

YesNo
5. If you do consider yourself disabled, what type of disability do you have? (Please select all that apply)

Disability affecting mobilityDisability affecting hearingDisability affecting visionA learning disabilityOther
6. Did you used to smoke, vape or both?

SmokeVapeSmoke and vape

7. How long did you used to:

Derbyshire County Council have introduced vapes as part of their stop smoking support via Live Life Better Derbyshire. They will be offering vapes to those over 18 who wish to quit smoking.
8. a. Do you believe the vape incentive proposed by Derbyshire County Council to be beneficial?

YesNoPerhapsI don't knowPrefer not to say
b. If you have answered 'perhaps' can you expand on your thoughts/reasoning? please detail below:

9. How important/unimportant to you would the following be as motivations to stop smoking?

	Very Important	Important	Unsure	Unimportant	Very Unimportant
a. Health
b. Impact on the NHS and healthcare services
c. Saving money
d. Impact on family and friends
e. The benefits of using a vape
f. The free 'quit smoking’ services offered by the Derbyshire County Council
g. The social perception of smoking

10. Are there any other motivators that you think would help you to quit smoking? please detail below:
11. a. Looking at the three posters above, which do you find the most motivating?

Design Route OneDesign Route TwoDesign Route ThreeNone
b. Please tell us why below:
c. Is there anything that you would change to your preferred poster?please provide details below:
12. a. Looking at the three posters above, which do you like the least?

Design Route OneDesign Route TwoDesign Route ThreeAll of them
b. Please tell us why below:
13. a. Looking at the four logos above, which do you like the most?

Design Route OneDesign Route TwoDesign Route ThreeDesign Route FourNone
b. Please tell us why below:
c. Is there anything that you would change to your preferred logo?please provide details below:
14. a. Looking at the three logos above, which do you like the least?

Design Route OneDesign Route TwoDesign Route ThreeDesign Route FourAll of them
b. Please tell us why below:
If you would like to be entered into our prize draw to win a £50 One 4 All gift card then please provide your email address and/or telephone below.
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