23 High Street, Eccleshall, Stafford, ST21 6BW

Telephone: 01785 850 226 ( Out of hours: 111 )
Email: crown.surgery@remove-this.nhs.net

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Smoking Status

To help us update your patient records with your smoking status, please take a couple of minutes to fill in our smoking questionnaire.

Please complete the questionnaire whether you smoke, are an ex-smoker or a non-smoker.

Smoking Questionaire

Access our Smoking Status Questionnaire
it only takes a couple of minutes to complete