since you last gave up smoking? tick one box only Less than a month ago 31 More than a month ago More about yourself day month year 18. When were you born? 32-37 19. Are you a male or female? MALE FEMALE 38 20. What is today’s date? day month year 39-44 21. How old are you? YEARS 45-46
since you last gave up smoking? Less than a month ago More than a month ago tick one box only 31 More about yourself 18. When were you born? day month year 32-37 19. Are you a male or female? MALE FEMALE 38 20. What is today’s date? day month year 39-44 21. How old are you? YEARS 45-46
guide-medical-practioners-health-monitoring-exposure-hazardous-chemicals.docx