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State:
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Amount: Help
Length: Help
Tobacco:
If you've quit, how long ago?
If you now use or have quit using tobacco products, which kind?
Cigarettes:
Social Smoker (few per month)
Less than pack a day
More than pack a day

Cigars:
Occasional cigar (1-2 per year)
Social Smoker (2 or less monthly)
More than 2 monthly

Pipe Smoker
Chewing Tobacco
Patches or Gum

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