Survey Text

1980
1979
1978
top
1980
Survey form view entire document:  text  image

10. How long did you actually stay off cigarettes the last time?

Number ____
2[] Days
3[] Weeks
4[] Months
5[] Years

000[] Did not stay off

top
1979
Survey form view entire document:  text  image

10. How long did you actually stay off cigarettes the last time?

Number ____
2[] Days
3[] Weeks
4[] Months
5[] Years

000[] Did not stay off

top
1978
Survey form view entire document:  text  image

10. How long did you actually stay off cigarettes the last time?

Number ____
2[] Days
3[] Weeks
4[] Months
5[] Years

000[] Did not stay off