The New Jersey Department of Health and Human Services designed NJQuit2Win.com to offer details on current programs designed to help people quit smoking, as well as information about the purpose of the New Jersey Smoke-Free Air Act and its implementation. Please take a moment and let us know how this site helped you, and how we can make it better.

1. Did you find NJQuit2Win.com helpful?
Yes	No
Will you recommend NJQuit2Win.com to other people?  Yes                                    No
2. Why did you visit NJQuit2Win.com? (check all that apply)
To find out about how to quit smoking
To find out how to help someone else quit smoking
To learn more about the benefits of quitting smoking
To learn more about New Jersey's Quit Services
To learn more about the Be Smoke Free in New Jersey:          Quit 2 Win campaign
To learn more about New Jersey's Smoke-Free Air Act
To learn more about resources for physicians
To learn more about resources for employers, unions,         and community organizations
To learn more about initiatives on college campuses
Other
3. Does NJQuit2Win.com have the information you need?
Yes	No
What information would you like added?
4. Was NJQuit2Win.com easy to navigate?
Yes	No
Why not?
5. Will you visit NJQuit2Win.com again?
Yes	No
Why not?
6. Which section(s) of NJQuit2Win.com were helpful or interesting for you? [Click all that apply]
New Jersey's Quit Services
How to Help Others Quit
New Jersey Smoke-Free Air Act
Employer, Union, or Community Organization Resources
Physician Resources
Makeover U
Quiz
Press Room
7. Tell us a little more about yourself.
Check One:
I am a smoker    I am a non smoker    I am a former smoker
Age:
Under 18 18 - 24 25 - 40	40 - 55 56 - 59 60 and above
Zip Code:
Who referred you to the site?
Physician/Dentist/Nurse/Other Healthcare Provider
Employer
Union
Community Organization
College Program/Initiative
Other
Test
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