Smoking Details | Webdoctor.ie

How long have you been smoking?Less than one yearBetween one and five yearsMore than five years

How many cigarettes do you smoke?Less than one per dayBetween one and five cigarettes per dayBetween five and ten cigarettes per dayBetween ten and twenty cigarettes per dayMore than twenty cigarettes per day

Do you smoke cigarettes when consuming alcohol?Yes, I doNo, I do not

Have you attempted to give up smoking before?Yes, Fewer than five timesYes, More than five timesNo, I have never attempted

Which of the following methods have you tried to stop smoking?WillpowerNicotine replacement (gum/patches/lozenges)HypnotherapyAcupunctureZyban (Bupropion)Other

Please give more details and clarify your experience with each method that you used and indicate which you found easiest

Have you used Champix tablets to stop smoking?Yes, I haveNo, I've not

When did you use Champix tablets?Within the last three monthsBetween three and six months agoMore than six months ago

By whom was the Champix tablets last prescribed for you?DoctorOnline DoctorPharmacyOtherNever Prescribed

Have you had any side-effects from the Champix tablets?Yes, I haveNo, I've not

Please give us more details in the text box (What side effects were they, were they persistent and they ultimately settle?)

Have you had any outside support to help your stop smoking?Yes, I haveNo, I've not

Please select the outside support you have to help with stopping smoking.Structured ProgramPartner/FamilyOther

What is your gender?FemaleMale