Registration Form: Big Smoking Update 2005

Registration Form: Big Smoking Update 2005

Below is a list of workshop options to choose from (please see/print workshop choices for descriptions).

Please indicate which four workshops you would most like to attend by placing a number from 1 – 4 in the preference box (1 being the workshop you would most like to attend).

You will have the opportunity to attend two of your preferred workshops. We will endeavour to assign you to your two top preferences. However, subject to demand and availability we may have to consider your third and fourth preferences.

Name

Job title

Organisation name

Address

Post code

Phone number

Fax number

Email address *

*Required in order to send acknowledgement of registration

	Workshop options	Preference
1	How to implement a smoking policy
2	The importance of smoking cessation in Primary Care
3	Smoking at work – The Law
4	Second Hand Smoke exposure
5	Framing the debate: Tobacco Control advocacy
6	Motivational interviewing to help people stop smoking
7	Engaging pregnant smokers
8	Smoking and young people
9	Auricular acupuncture and other alternatives
10	Reducing tobacco use in South Asian communities
11	Exploring the use of pharmaceutical intervention - NRT
	please only make 4 choices

Special requirements:
e.g. wheelchair user/dietary