Lung Cancer and Cigarette Smoking Web Page

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not work respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: fgrannis@coh.org

This page is an experimental effort to see whether a world wide web page can be helpful to smokers, patients with tobacco related illness and their families, students, physicians in training and in practice, and others. I would greatly appreciate your help in evaluating the page and it's usefullness. Please take the time to fill out this brief form after you have finished browsing the page. Thank you in advance. Frederic W. Grannis Jr. MD, Arcadia, CA 

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  • Student Grammer School
  • Student High School
  • Student Graduate School
  • Student Medical School
  • Physician in training
  • Physician in practice
  • Pulmonary Medicine
  • Medical Oncology
  • Thoracic Surgery
  • Radiation Oncology
  • Attorney
  • Politician
  • Epidemiologist
  • Psychologist
  • Anti-Smoking Activist
  • Other
  • Current Smoker
  • Ex-smoker
  • Never Smoked
  • I want to quit smoking
  • I want to help another quit
  • Need advice on personal health
  • Need advice for another
  • I have lung cancer.
  • A relative has lung cancer.
  • A friend has lung cancer.
  • School project.
  • Research Project.

    • Where did you hear about The Lung Cancer and Cigarette Smoking Web Page?

    Source of Referral:

    Comments:

    Thank you for your time and effort in filling out this form. It is greatly appreciated. Please drop by at the Lung Cancer and Cigarette Smoking Web Page in the near future. Frederic W. Grannis Jr. MD, Arcadia, CA


    Frederic W. Grannis Jr. M.D
    If you have trouble contacting me with the address above, I may also be reached at 76516,2333@compuserve.com and at fgrannis@cris.com

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