 Please answer the questions by checking yes or no.
Please answer the questions by checking yes or no.
		  
		  
		    1. Do I want to quit smoking for myself?
		  
		  
		    Yes     No
		  
		  
		    2. Is quitting smoking a #1 priority for me?
		  
		  
		    Yes     No
		  
		  
		    3. Have I tried to quit smoking before?
		  
		  
		    Yes     No
		  
		  
		    4. Do I believe that smoking is dangerous to my health?
		  
		  
		    Yes     No
		  
		  
		    5. Am I committed to trying to quit even though it may be tough at first?
		  
		  
		    Yes     No
		  
		  
		    6. Are my family, friends and co-workers willing to help me quit smoking?
		  
		  
		    Yes     No
		  
		  
		    7. Besides health, do I have other personal reasons for quitting?
		  
		  
		    Yes     No
		  
		  
		    8. Will I be patient with myself and keep trying if I slip or backslide?
		  
		  
		    Yes     No
		  
		  
		     
		  
		  
		    If you answered "yes" to 4 or more of these questions, you are ready to quit smoking.
		  
		  
		    For more information or to register for the smoking cessation program, call 812-238-7822.