Tell Your Quit Story
Do you have a story to tell about vaping, tobacco use, or trying to quit? Share it the the Tuolumne County Public Health Tobacco Control Program here, and our program will be in touch about the possibility of anonymously sharing your story with our community.

FOR HELP QUITTING, VISIT https://kickitca.org/
Sign in to Google to save your progress. Learn more
Your Name *
Are you an adult? *
Do you live in Tuolumne County?
Clear selection
What is your email (only so that we may contact you about your story)?
What is your phone number (only so that we may contact you about your story)?
Please tell us your story about vaping, tobacco use, or your journey to quit. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy