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Why did you start smoking?
 
Peer pressure
 
To look cool/attractive
 
To feel/look older
 
Stress
 
To rebel
 
Other
 

 
 
 

What are some reasons you continued smoking? What made it easy to keep smoking?


 
Wasn't worried about health
 
Unaware of health risks
 
Addicted
 
Didn't care
 
Other
 

 
 

Which factors were important your successful quitting


Not important at all Slightly important Moderately important Very important Extremely important
Relationships with family and friends
Public opinion, how others perceive smoking
Employers, worksites, community initiatives, support organizations, media
Laws or ordinances
Clinical programs
Nicotine Replacement Therapy (patch, gum, etc.)
Pharmaceutical drugs (like Chantix)
 
 
 
Describe anything that wasn't listed that helped you quit.
   
 
 
 
What would you recommend for people that want to quit?
 
Seek peer/family support
 
A clinical support group
 
Prescription medication(s)
 
Nicotine replacement therapy (patch, gum, etc.)
 
Replace smoking with a new/good habit
 
Other
 

 
 
 
Describe a quit attempt that failed, if you ever had one.
   
 
 
 
Describe a quit attempt that succeeded.
   
 
 
 
What other factors influenced your usage or quitting that were not mentioned here?
   
 
 
 
List 2 or 3 things you think would be helpful to tell someone trying to quit.