New Starter Questionnaire

By filling in this questionnaire we will be able to better guide you through what sort of vaping device would be the most suitable based on your habits. Once the questionnaire is complete a member of our team will contact you to discuss our suggestions.

Please give us an overview of how many cigarettes you smoke.

Help us find the best vape for you

Thanks! We need your contact information so we can send you our recommendations.

  • Smoking History
  • Preferences
  • Contact information

Smoking History

What do you smoke?

How many do you smoke a day?

Device Preference

If you have any specific flavour requests please state here.

Can you charge the vape during the day?

Would you like a vape that can be adjusted?

Flavour Preference

What flavours do you like?

Contact Information

Name

Phone Number

Email Address

Date of birth

How would you prefer to be contacted

Prefered contact time