IBREATHE SMOKING HEADER WELCOME
treatments HEAD ARROW
  smoking 101  
  get motivated to quit  
  helping someone quit  
   
  smoking glossary  
  smoking Q & A  
 
SHADOW GRAPHIC HOME ABOUT SITEMAP


SMOKING QUIZ HEADER

To successfully stop smoking takes time and planning. The first step is to assess how motivated you are and to identify your reasons for wanting to stop. Both are important elements of a stop-smoking plan.

The statements below can help you assess your motivation level and the reasons why you want to stop smoking. Once you've answered the questions, print this page as a reminder of your commitment to quit.

NUMBER 1
My desire to stop smoking is strong and my reasons for quitting are clear.
Yes No
 
NUMBER 1
Things are going fairly smoothly at home and at work.
Yes No
 
NUMBER 1
I feel good. My energy is high and my attitude is positive.
Yes No
 
NUMBER 1
I can schedule some time for myself over the next few weeks if I need to cope with withdrawal symptoms.
Yes No
 
NUMBER 1
I have my stop-smoking support person in place.
Yes No
 
NUMBER 1
I am worried about my health.
Yes No
 
NUMBER 1
I want to improve my appearance.
Yes No
 
NUMBER 1
I do not like my smoking habit.
Yes No
 
NUMBER 1
Smoking is a negative factor in my life.
Yes No
 
NUMBER 1
I am tired of the way smoking makes me feel.
Yes No
 
NUMBER 1
I want to quit smoking for my family.
Yes No
 
NUMBER 1
I want to feel in control.
Yes No
 
NUMBER 1
I am not going through a major life change.
Yes No


SUBMIT BUTTON