Q.1
Please tell us your name
Title
First Name
Last Name
Q.2
Please enter your email address here
*
Email
Q.3
Please tell us your sex
*
Male
Female
Q.4
Please tell us your date of birth
*
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
/
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
Q.5
Are you currently a blu consumer?
*
Yes
No
Q.6
If you answered No to the previous question, are you currently a cigarette smoker?
Please skip if you are currently a blu consumer
Yes
No
Q.7
If you answered Yes to the previous question, when did you first try blu?
Please skip if you did not answer yes to question 4
Less than 7 days ago
Less than 1 month ago
1 - 3 months ago
3 months or more
Q.8
How many cigarettes did/do you smoke per day
*
5 - 10 per day
10 -20 per day (1 pack)
Over one pack per day
Q.9
Would you consider yourself tech savvy?
*
Yes
No
Q.10
Do you currently own a smartphone?
*
Yes
No
Q.11
If you answered Yes to the previous question, please tell us what operating system your phone uses
Android
iOS
Windows
Other