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Voluntary User Survey
Share Some Information About Yourself
The services available on www.ashline.org are free to all who wish to use them. However, in order to help us assess our services and to get an idea of how well we are doing, please take a moment and fill out the following survey.
We request the following demographic information for aggregate statistical reporting only. This reporting helps us to evaluate our services and to assure that we are serving all populations in the state of Arizona. Information provided will not be sold to or shared with any organizations outside of the Arizona Department of Health Services Tobacco Education Prevention Program network. For more information see the Privacy Statement.