This is a survey of smokers -- including those smokers who are not yet
ready to quit -- to learn more about their perspective. Please take a few minutes to
complete and submit this Smoker Survey. This will entitle you to receive our comprehensive
Stop Smoking Audio Program on loan for up to 3 months.
Our experts are also available to respond to your questions related
to smoking, after you complete and submit the smoker survey. Thank you for your
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demo Only. Form Will not submit.
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Helps me deal with stressful
Provides a pleasant and enjoyable break from
Helps me unwind and relax.
Helps me deal with painful or unpleasant
Prevents unpleasant withdrawal symptoms.
Helps me deal with an overstimulating
I enjoy the physical sensation of lighting and
handling a cigarette.
Keeps me from feeling bored.
Increases my enjoyment of pleasant experiences.
Helps me feel comfortable in social situations.
Helps me concentrate.
Smoking makes my clothes, hair,
home and office smell bad.
I have more frequent colds, coughs and sore
I worry that it's bad for my health.
Some people don't want to be my friend because I
I feel that other people disapprove of my
I worry that my smoking might be a health risk
I get out of breath more easily because of my
I feel that I am setting a bad example.
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How to tell
whether you're a high- or low-risk smoker.
How to keep smoking from harming your family and
How to get along with nonsmokers.
The most effective ways of cutting down.
The economic consequences of smoking.
Do smokers have special needs for vitamins.
How to cut your smoking through stress reduction.
What you need to know to get ready to quit.
How to stay a nonsmoker after you quit.
Dealing with weight gain after you quit.
What withdrawal symptoms you might encounter
after you quit.
The most effective ways of quitting.
What smoking does to a smoker's body.
Stop Smoking Survey is available to
Members Only. Click here to
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