Complete our smoking survey for a chance to win 3 weeks free acupuncture treatment

To enter our competition, simply fill in all of the questions below and submit the form. The winner will be chosen at random from the entries on 11 March 2009 (No Smoking Day), and will receive 2 20 minute ear acupuncture treatments a week for 3 consecutive weeks beginning on the week of 16 March. We will notify the winner by email.

Please enter your name

Please enter your email

What age did you start smoking?

under 12 12-16 16-20 20+

How old are you now?

18-25 26-35 36-45 45+

How many cigarettes do you smoke each day?

less than 5 5-10 10-20 20+

How many times have you tried to give up smoking?

0 1 2-5 5+