Quitline did not provide NRT in FY2016 SKIP to Question 13 – 2 week supply CONTINUE to Question 10 – 4 week supply CONTINUE to Question 10 – 5 week supply CONTINUE to Question 10 – 8 week supply CONTINUE to Question 10 – Other: please specify - CONTINUE to Question 10 *10. Are some quitline participants eligible for a longer supply? NAQC is seeking to generally understand the number of state quitlines that may provide more NRT to certain populations. Yes No Do not know/unsure *11. Did the amount of NRT provided to eligible quitline participants in FY16 decrease at any point in the fiscal year? Yes CONTINUE to Question 12 – No SKIP to Question 13 – Do not know/unsure SKIP to Question 13 – *12. Please indicate why the amount of NRT provided to eligible quitline participants in FY16 decreased (e.g., budget constraints, TIPS campaign). *13. For FY16, please indicate if your state quitline provided any amount of NRT to quitline participants who were enrolled in Medicaid. State quitline did not provide NRT to quitline participants enrolled in Medicaid. –
Quitline did not provide NRT in FY2016 – SKIP to Question 13 2 week supply – CONTINUE to Question 10 4 week supply – CONTINUE to Question 10 5 week supply – CONTINUE to Question 10 8 week supply – CONTINUE to Question 10 Other: please specify - CONTINUE to Question 10 *10. Are some quitline participants eligible for a longer supply? NAQC is seeking to generally understand the number of state quitlines that may provide more NRT to certain populations. Yes No Do not know/unsure *11. Did the amount of NRT provided to eligible quitline participants in FY16 decrease at any point in the fiscal year? Yes – CONTINUE to Question 12 No – SKIP to Question 13 Do not know/unsure – SKIP to Question 13 *12. Please indicate why the amount of NRT provided to eligible quitline participants in FY16 decreased (e.g., budget constraints, TIPS campaign). *13. For FY16, please indicate if your state quitline provided any amount of NRT to quitline participants who were enrolled in Medicaid. State quitline did not provide NRT to quitline participants enrolled in Medicaid. –
revFY2016_Survey_FINAL.docx