How many times have you tried to smoking?
{X} 1or 2
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{X} yes
Not sure I could have quit at all if my husband hadn’t quit with me.
How many different methods for quitting have you tried?
{X} 1 or 2
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{X} Cold turkey
{X} Other – hypnosis
How many times have you succeeded in quitting for any period of time?
{X} 0 to 2
What’s the longest amount of time that you have quit for?
{X} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{X} Cold turkey
At what age did you begin smoking?
{X} 13 to 18 years
9.If you could go back to when you started smoking , would you still have started?
{X} no
Why? It was one of the stupidest decisions I ever made. I started smoking because I thought it was cool, which gives some indication of how rational and mature my thought processes were at the time.
Are you still smoking?
{X} no
Why? Because I never want to go through the hassle of quitting again – the first few days were sheer misery – and because I really enjoy not smoking. I like never having to think about whether I have my cigarettes, whether I have enough cigarettes, whether my lighter is about to die, whether I have emergency matches, whether I can smoke at the places I’m going, whether I’ve completely put out the last cigarette I smoked as I left the house, etc. etc. etc. It’s freeing!
I also enjoy being able to take a deep breath to the very bottom of my lungs without coughing, being able to lie down to go to sleep at night without coughing, being able to climb a flight of stairs without getting short of breath, and so on. I like not smelling like smoke and having our house not smell like smoke, and I don’t miss cleaning the disgusting yellow-brown greasy film off of everything, especially windows. I love not spending the buttloads of money that cigarettes cost. I love not feeling helpless, addicted, and tied to cigarettes.
Printed Name (screen name will do): Miss Bianca
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{X}Yes
I consent to the use of materials involving my participation in this research.
{X}Yes
How many times have you tried to smoking?
{ } 1or 2
{x} 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x} no
How many different methods for quitting have you tried?
{ } 1 or 2
{x} 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{x} Gum
{ } Gradual reduction
{x} Other - hypnosis
How many times have you succeeded in quitting for any period of time?
{x} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{x}Other - Allan Carr’s book
At what age did you begin smoking?
{ } less than 13 years
{x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x} no
Why? I wasted a lot of time smoking.
Are you still smoking?
{ } yes
{x} no
Why? I don’t need to smoke anymore.
Additional Comments:
Quitting isn’t as hard as I was constantly told it was. Once I had it in my mind that my addiction was mostly in my head, quitting was easy.
To be completed By Subject:
Printed Name (screen name will do):
Boscibo
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
How many times have you tried to smoking?
{x} 1or 2
{ } 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x} no
How many different methods for quitting have you tried?
{x} 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{x} Gradual reduction
{ } Other
How many times have you succeeded in quitting for any period of time?
{x} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{x} 5 to 11 months
{ } 1 year or more
What methods have worked best for you? (Mark all that apply.)
{x} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ }Other
At what age did you begin smoking?
{ } less than 13 years
{ } 13 to 18 years
{x} 19 or older
9.If you could go back to when you started smoking , would you still have started?
{x} yes
{ } no
Why? I’ve met alot of fun people and engaged in fantastic conversations as a direct result of my smoking. It’s also a coping mechanism for me.
Are you still smoking?
{x} yes
{ } no
Why? Because I still enjoy cigarettes.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): malkavia
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
Directions: Mark the appropriate box next to your chosen answer, with an x, and answer all question to the best of your ability.
How many times have you tried to smoking?
{ } 1or 2
{x} 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x} no
How many different methods for quitting have you tried?
{ } 1 or 2
{x} 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{x} Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{x} Gum
{x} Gradual reduction
{ } Other
How many times have you succeeded in quitting for any period of time?
{x} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{x} Cold turkey
{x} Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ }Other
At what age did you begin smoking?
{ } less than 13 years
{x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x} no
Why?
Because I know now how bad it is for me - and I know how hard it is to quit. And that I don’t have to take up a bad habit just because those around me are.
Are you still smoking?
{x} yes
{ } no
Why?
Because I am. Because it’s an addiction I have to break. Because I suck. Pick the answer you like.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): Lsura
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
How many times have you tried to smoking?
{x } 1or 2
{ } 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{x } yes
{ } no
How many different methods for quitting have you tried?
{ x} 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{x } Other (WELBUTRIN)
How many times have you succeeded in quitting for any period of time?
{ x} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{x } 0 to 4 months
{ } 5 to 11 months
{ } 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ x}Other (MEDICATION - but the medication side-effects outweighed their good effects)
At what age did you begin smoking?
{ } less than 13 years
{x } 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x } no
Why?
Bad for health, expensive, dirty, awkward, none of my friends smoke
Are you still smoking?
{x } yes
{ } no
Why?
I am addicted. I LOVE to smoke. It outweighs my loathing for smoking enough that I keep doing it.
Additional Comments:
I wish I’d never started and I hope to quit before I’m 30 (I am 27).
To be completed By Subject:
Printed Name (screen name will do):
ZipperJJ
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x }Yes { }No
I consent to the use of materials involving my participation in this research.
{x }Yes { }No
How many times have you tried to smoking?
{ } 1or 2
{ } 3 or 4
{x} 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x} no
How many different methods for quitting have you tried?
{ } 1 or 2
{x} 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{x} Gum
{x} Gradual reduction
{ } Other
How many times have you succeeded in quitting for any period of time?
{ } 0 to 2
{x} 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{x} Gum
{ } Gradual reduction
{ }Other
At what age did you begin smoking?
{ } less than 13 years
{x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x} no
Why? After the addiction is established, I don’t think one ever gets over it. It’s a constant battle.
Are you still smoking?
{ } yes
{x} no
Why? Let me qualify my answer. I still smoke on occasion, when I drink (which is fairly rare), but it’s not a daily or even monthly thing. I don’t enjoy drinking at all unless I can smoke, and sometimes I really want a drink.
Additional Comments:
At present, I am still addicted to nicotine, so I chew lots of nicotine gum. I find that nicotine helps me concentrate. Apparently, I’m not alone is this: http://scienceblog.com/cms/node/1832.
To be completed By Subject:
Printed Name (screen name will do):kelly5078
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
How many times have you tried to smoking?
{ } 1or 2
{X} 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{X} no
How many different methods for quitting have you tried?
{X} 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{X} Cold turkey
How many times have you succeeded in quitting for any period of time?
{X} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{X} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{X} Cold turkey
At what age did you begin smoking?
{ } less than 13 years
{X} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{X} no
Why? It’s an expensive and dangerous habit.
Are you still smoking?
{ } yes
{X} no
Why? No reason to restart.
Additional Comments:
I’m 57, and I quit at least thirty years ago. The gum and the patches were not available then, so I quit cold turkey. It took four tries. The first two tries lasted about 2 weeks each. The third time was two months. The fourth time, forever.
To be completed By Subject:
Printed Name (screen name will do):AskNott
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{X}Yes { }No
I consent to the use of materials involving my participation in this research.
{X}Yes { }No
How many times have you tried to smoking?
{x } 1or 2
{ } 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ x} yes
{ } no
How many different methods for quitting have you tried?
{ x} 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{ x} Cold turkey
{ x} Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ } Other
How many times have you succeeded in quitting for any period of time?
{ x} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{ x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ x} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ }Other
At what age did you begin smoking?
{ } less than 13 years
{ x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{ x} no
Why?
Waste of money and time.
Are you still smoking?
{ } yes
{x } no
Why?
Waste of money, time, and health.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): Queen Bruin
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{ x}Yes { }No
I consent to the use of materials involving my participation in this research.
{ x}Yes { }No
How many times have you tried to smoking?
{ } 1or 2
{ } 3 or 4
{x} 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x} no
How many different methods for quitting have you tried?
{ } 1 or 2
{x} 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{x} Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{x} Gum
{ } Gradual reduction
{x} Other (bupropion)
How many times have you succeeded in quitting for any period of time?
{ } 0 to 2
{x} 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{x}Other (bupropion)
At what age did you begin smoking?
{ } less than 13 years
{x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x} no
Why?
The only enjoyment which I got out of smoking was from the first cigarette I had after a period of abstinence. The thousands that followed just maintained my equilibrium.
Are you still smoking?
{ } yes
{x} no
Why?
I feel better not smoking and my health has improved. Also, I used to feel very guilty about setting a bad example for younger people who might begin smoking.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): SoCalled
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
Directions: Mark the appropriate box next to your chosen answer, with an x, and answer all question to the best of your ability.
How many times have you tried to smoking? **[is this supposed to say tried to quit smoking? I’ll assume so.]
{ } 1or 2
{x} 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{x} yes
{ } no
How many different methods for quitting have you tried?
{x} 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{ } Nicotine patches
{x} Group therapy/Support group
{ } Self help kits
{ } Gum
{x} Gradual reduction
{x} Other - **herbs, acupuncture and flower essences **
How many times have you succeeded in quitting for any period of time?
{x} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{x}Other - **herbs, acupuncture and flower essences **
At what age did you begin smoking?
{ } less than 13 years
{x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{x} yes
{ } no
Why? I like smoking. Horribly un-PC for a high school report, but there it is. I like the friends it enabled me to make, I like the sensual experience of smoking itself.
Are you still smoking?
{ } yes
{x} no
Why? Mostly because my husband is very against it. He became less and less tolerant as time went on, and it became a huge issue in our relationship. While I love smoking, I love him more, so it was the cigarettes that had to go. Whoever says you can’t quit for someone else is full of it. I think, ultimately, most people quit for someone else.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do):WhyNot
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
So? Help the girl out with her data - the OP asked for smokers *and *former smokers. Questions 9 and 10 are certainly (and probably interestingly) answerable by current smokers.
How many times have you tried to smoking?
{X} 1or 2
{ } 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{X} yes
{ } no
How many different methods for quitting have you tried?
{X} 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{X} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{X} Other – prescription for Zyban
How many times have you succeeded in quitting for any period of time?
{X} 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{X} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{X} Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{X}Other - Zyban
At what age did you begin smoking?
{ } less than 13 years
{ } 13 to 18 years
{X} 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{X} no
Why?
It’s so hard to quit
It’s so expensive
It’s so damaging
It’s so socially unacceptable
It makes me feel like a loser
Are you still smoking?
{X} yes
{ } no
Why?
It’s so hard to quit
Additional Comments:
New quit date… June 1, 2007
To be completed By Subject:
Printed Name (screen name will do): Savannah
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{X}Yes { }No
I consent to the use of materials involving my participation in this research.
{X}Yes { }No
How many times have you tried to quit smoking? {X} 1or 2
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone? {X} yes
[I didn’t actually want anyone to ask how I was doing or bring it up in any way. The only support that mattered was not actively smoking next to me or in my home. As such, the best support I got was my husband quitting as well.]
How many different methods for quitting have you tried? {X} 1 or 2
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any. {X} Cold turkey
How many times have you succeeded in quitting for any period of time? {X} 0 to 2
What’s the longest amount of time that you have quit for? {X} 1 year or more [Jan 4 will be 2 years.]
What methods have worked best for you? (Mark all that apply.) {X} Cold turkey
At what age did you begin smoking? {X} 13 to 18 years
9.If you could go back to when you started smoking , would you still have started? {X} no
Why?
**Because it was freaking idiotic. What were the perceived benefits before I had that first puff, I wonder? I wasn’t cooler or thinner or happier, I was just short on cash, smelling bad, and risking my health. **
Are you still smoking? {x} no
Why?
**The second I saw my positive pregnancy test, I knew I could never smoke again. I didn’t give a crap about my own health, and I would bitch about the money it cost, but it was never enough to make me say NEVER AGAIN. Knowing I was responsible for another life meant I could never consider it again. Not only did my baby deserve a safe environment in the womb, she deserved to not be exposed to my smoke in any form, see my horrid example (my own mother’s example definitely influenced me) and she deserved not to lose her mother prematurely because of stupidity. I haven’t had a single puff in the past two years. **
To be completed By Subject:
Printed Name (screen name will do): Cyros
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{X}Yes
I consent to the use of materials involving my participation in this research.
{X}Yes
How many times have you tried to quit smoking?
{x} 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you?
{x} no
How many different methods for quitting have you tried?
{x} 3 or 4
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{x} Nicotine patches
{x} Gum
{x} Gradual reduction
How many times have you succeeded in quitting for any period of time?
{x} 0 to 2
What’s the longest amount of time that you have quit for?
{x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{x} Cold turkey
At what age did you begin smoking?
{x} 13 to 18 years
9.If you could go back to when you started smoking , would you still have started?
{ } no
Why? Waste of money, waste of health.
Are you still smoking?
{ } no
Why? See above.
To be completed By Subject:
Printed Name (screen name will do):
NurseCarmen
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No
How many times have you tried to smoking?
{ } 1or 2
{ } 3 or 4
{ } 5 or more
I’ve never tried to quit.
For questions 2-7, refer to 1).
At what age did you begin smoking?
{ } less than 13 years
{ } 13 to 18 years
{ x} 19 or older
9.If you could go back to when you started smoking , would you still have started?
{x } yes
{ } no
Why? I enjoyed it then, and I enjoy it now.
Are you still smoking?
{x } yes
{ } no
Why? See 9).
Additional Comments:
I think I could quit anytime I want. I base this on the fact that since my parents don’t know that I smoke, I do not smoke when I am visiting them, and have gone a week at their house without so much as a thought, or a desire, to light up. It’s just that I still enjoy it, hence I still do it.
To be completed By Subject:
Printed Name (screen name will do): Fiddle Peghead
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{ x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x }Yes { }No
How many times have you tried to smoking?
{ } 1or 2
{x } 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x } no
How many different methods for quitting have you tried?
{x } 1 or 2
{ } 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ } Other
How many times have you succeeded in quitting for any period of time?
{x } 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{x } 1 year or more
What methods have worked best for you? (Mark all that apply.)
{x } Cold turkey
{ } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ }Other
At what age did you begin smoking?
{ } less than 13 years
{x } 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x } no
Why?
Are you still smoking?
{ } yes
{x } no
Why? I succeeded in stopping. It was smelly, costly, and very unhealthy.
Additional Comments: The final motivation was when I inadvertently slightly burned the cheek of my oldest son when he was 4 years old. Sort of highlighted how my habit hurt others in addition to myself.
To be completed By Subject:
Printed Name (screen name will do): Sunstone
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x }Yes { }No
I consent to the use of materials involving my participation in this research.
{x }Yes { }No
How many times have you tried to smoking?
{ x} 1or 2
{ } 3 or 4
{ } 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{ x} no
How many different methods for quitting have you tried?
{ } 1 or 2
{ x} 3 or 4
{ } 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{ } Cold turkey
{ x} Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{x } Gum
{ } Gradual reduction
{x } Other
How many times have you succeeded in quitting for any period of time?
{x } 0 to 2
{ } 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{ } 5 to 11 months
{ x} 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{x } Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{ x}Other
At what age did you begin smoking?
{ } less than 13 years
{x } 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{ x} no
Why? I always worried about it making me sick and it’s really bad for your gums, which I didn’t know until I had to have a lot of dental work done.
Are you still smoking?
{ } yes
{ x} no
Why? I quit about 6 years ago.
Additional Comments:
If I knew how easy it would be to quit I would have done it a lot sooner.
To be completed By Subject:
Printed Name (screen name will do): Jellyblue
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{ x}Yes { }No
I consent to the use of materials involving my participation in this research.
{ x}Yes { }No
How many times have you tried to smoking?
{ } 1or 2
{ } 3 or 4
{x} 5 or more
When you are trying to quit smoking, is it easier to quit with friends and family around to support you, rather than to do it alone?
{ } yes
{x} no
How many different methods for quitting have you tried?
{ } 1 or 2
{ } 3 or 4
{x} 5 or more
What method(s) have you tried? (Mark all that apply.)On the back of this survey, list the brands of the products, if any.
{x} Cold turkey
{x} Nicotine patches
{x} Group therapy/Support group
{ } Self help kits
{ } Gum
{x} Gradual reduction
{x} Other - hypnosis
How many times have you succeeded in quitting for any period of time?
{ } 0 to 2
{x} 3 to 4
{ } 5 or more
What’s the longest amount of time that you have quit for?
{ } 0 to 4 months
{x} 5 to 11 months
{ } 1 year or more
What methods have worked best for you? (Mark all that apply.)
{ } Cold turkey
{x} Nicotine patches
{ } Group therapy/Support group
{ } Self help kits
{ } Gum
{ } Gradual reduction
{x}Other - Wellbutrin
At what age did you begin smoking?
{ } less than 13 years
{x} 13 to 18 years
{ } 19 or older
9.If you could go back to when you started smoking , would you still have started?
{ } yes
{x} no
Why? Health risks
Are you still smoking?
{ } yes
{x} no
Why? Recent bout with breast cancer; trying to clean up my act and live healthily.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): straykat
I realize that I am free to withdraw my consent and to withdraw from the study at any time without negative consequences.
{x}Yes { }No
I consent to the use of materials involving my participation in this research.
{x}Yes { }No