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Take Survey for a Chance to Win a Market Basket Gift Card

March 23, 2021

The Northeast Tobacco-Free Community Partnership is gathering data about hookah use in the state of MA. This is a topic that there is little to no data available for in Massachusetts, so the responses we get from this survey will be instrumental in establishing future programs.

All participants who take this survey will be entered to win one of several $100 Market Basket gift cards! This survey by the Northeast Tobacco-Free Community Partnership (NETFCP) is meant to help us understand Hookah/Shisha use in the communities we serve. This survey should take about 10 minutes to complete. You may experience minimal discomfort from personal questions about culture and addiction. Your responses will be kept confidential and anonymous by our researchers. You have every right to refuse to take this survey or withdraw from it once you have started it.

English Hookah/Shisha Smoking Survey: https://forms.gle/q81viUSkPoWx4QFCA 


Northeast Tobacco-Free Community Partnership está recopilando datos sobre el uso de narguiles en el estado de Massachusetts. Este es un tema sobre el que hay poca o ninguna información disponible en Massachusetts, por lo que las respuestas que obtengamos de esta encuesta serán fundamentales para establecer programas futuros.

¡Todas las personas que respondan la encuesta tendrán la oportunidad de ganar ¡una de las varias  tarjetas de regalos de Market Basket de $100 que se sortearán! Esta encuesta  del Northeast Tobacco-Free Community Partnership (NETFCP)  tiene el objetivo de ayudarnos a comprender el uso de la hookah/shisha en las comunidades a las que servimos. Esta encuesta le tomará unos 10 minutos para completarla. Es posible que experimente un poco de  incomodidad por las preguntas personales sobre la cultura y la adicción. Nuestros investigadores mantendrán sus respuestas anónimas y confidenciales. Usted tiene todo el derecho a negarse a participar en esta encuesta o a retirarse de ella una vez que la haya iniciado.

Español Encuesta  para Fumadores de Hookah/Shisha (Narguile): https://forms.gle/MJYSwkNGNEUqAhBU7

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This health center is a Health Center Program grantee under 42 USC 254b and a deemed Public Health Service employer under 42 USC 233 (g)-(n). No one will be denied access to services at GLFHC due to inability to pay; there is a discounted/sliding fee schedule available based on family size and income.

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