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The form can be a single page and should include: Their name Date of the session Their age Their date of birth Their complete contact details You also need to know: If there is any history of illness in the family Their doctors name and contact details Whether or not you can contact their doctor if necessary If their doctor or dentist has recommended they give up smoking Somewhere on the form (possibly on the back) you need them to answer the following types of questions: How long have you smoked

rates have not been possible since 2015 because Wyoming stopped participating in the Youth Risk Behavior Surveillance System [YRBSS].) Most of Wyomings 2015 high school smokers had made at least one quit attempt in the past year (YRBSS, 2015)

It is a concern shared by many

Venables KM, Topping MD, Howe W, Luczynska CM, Hawkins R, & Taylor AJ (1985) Interaction of smoking and atopy in producing specific IgE antibody against a hapten protein conjugate