How many times have you tried to stop 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
{ } 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? Dangerous
Are you still smoking?
{ } yes
{x} no
Why? Know better
Additional Comments: Quit 16 years ago.
To be completed By Subject:
Printed Name (screen name will do): Cicero
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 stop 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?
{ } yes
{ } no
x Better to do it alone than with friends and relatives who mock your attempts.
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
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} yes
{ } no
Why? I don’t regret it. I know what is it I’m “missing”; I know I do enjoy smoking; I know that not doing so is my choice and not a result of peer pressure or of Dad’s too-little-too-late parental speeches.
Are you still smoking?
{ } yes
{x} no
Why? I had to choose between smoking or movies (tiny allowance). The movies were better. There’s still times when I think “damn man, if I was a smoker I’d sure like one right now!” but when I die I’d like to leave behind curtains that don’t smell of my cigs 9 years after my last one… unlike Dad.
Additional Comments: Quit within weeks of starting but like I mentioned, basically because Travolta won over Lucky. If I’d had a more normal allowance I might still be smoking now.
To be completed By Subject:
Printed Name (screen name will do): Nava
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
{ } 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?
{x} less than 13 years
{ } 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 enjoy it
Are you still smoking?
{x} yes
{ } no
Why?
Additional Comments: I quit smoking the one time I tried for 3 years. I quit because I was developing a cough. I later found out that allergies were causing the cough. Eventually I started smoking again because I like to smoke. I occasionally take time off of smoking just to prove to myself that I can.
To be completed By Subject:
Printed Name (screen name will do):
Who_me?
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
{ } 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 Second time around worked for good…
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
{x} no
Why? “yes” in the sense of that I would probably start again in the situation I was in. Also, I enjoyed smoking, as a social construct as well as a sensual experience. “No” in the sense of that I absolutely detest the smell in my clothes, and of course the addiction and health consequences…
Are you still smoking?
{ } yes
{x} no
Why? Sometimes I would like to smoke the occasional cigarette, but I know that I’d soon be back to a full-blown addiction with all its negative consequences. So I don’t, and the benefits far outweigh the occasional yen.
Additional Comments: I think in the US quitting smoking is probably easier than here in Germany where we do not have any anti-smoking laws in effect (yet), and when you go out you’re inevitably confronted with a smoky environment.
To be completed By Subject:
Printed Name (screen name will do): EINMON
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
{ } 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 (Note: 23 years quit)
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? Probably didn’t do much damage, but why risk it?
Are you still smoking?
{ } yes
{x} no
Why?
Additional Comments: I tried to quit once, without success. A few years later I simply threw away all the cigarettes and never bought any more.
To be completed By Subject:
Printed Name (screen name will do): pullin
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
{ } 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?
{X} 0 to 4 months
{ } 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
{X} Gum
{X} 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?
Health reasons, mostly.
Are you still smoking?
{X} yes
{ } no
Why?
Can’t quit.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): Missy2U
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
{ } 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?
The two cigarettes I’ve had since I stopped smoking have hurt my lungs. I don’t like it when my lungs hurt.
Are you still smoking?
{ } yes
{ X } no
Why?
I don’t want to start again.
Additional Comments:
I started smoking at age 16 and quit at age 32 when my wife became pregnant. My reasoning was that if she could not smoke, then it would hardly be fair if I were to smoke, too. That was a little over four years ago.
To be completed By Subject:
Printed Name (screen name will do):
Maus Magill
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?
{ } 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
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?
{x } less than 13 years
{ } 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 now have COPD, which is going to kill me, unless something else gets me first. Frankly, having seen what end stage emphesima is like I’d rather have a big ass heart attack or get hit by a bus or be attacked by an ax murderer.
Are you still smoking?
{x} yes
{ } no
Why?
Additional Comments:
Cigarettes should be illegal.
To be completed By Subject:
Printed Name (screen name will do): Indecisive1
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
{ } 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
{ } no
Why? Hard to say, do you mean knowing what I know now?
Are you still smoking?
{x } yes
{ } no
Why? Believe it or not, I actually enjoy it.
Additional Comments:Question #9 is a little vague. Knowing what I know now, I probably wouldn’t have started. But my situation was a bit different. I was a 16-year old senior in HS, and started to fit in with the older boys. Lame, I know, but anyone who remembers HS probably knows what I mean.
To be completed By Subject:
Printed Name (screen name will do):want2know
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?
{x } yes
{ } 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
{ 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
{ }Other
At what age did you begin smoking?
{ x} less than 13 years
{ } 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 am addicted to a harmful substance.
Are you still smoking?
{x } yes
{ } no
Why? because I haven’t quit successfully.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): lexi
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?
{X} yes
{ } no
(Friends, not family-- family’s too stressful)
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?
{X} 0 to 4 months
{ } 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
{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?
Much harder to quit than I imagined.
Are you still smoking?
{X} yes
{ } no
Why?
Haven’t had a time where it’s convenient for me to be irritable for a month.
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do):
UKCatGirl03
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
{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? Yeah, smoking is bad for me, it is a disgusting habit and it makes me smell bad. However, even knowing that, I still would have started smoking smoking as a way to try and fit in.
Are you still smoking?
{x} yes
{ } no
Why? I haven’t reached my quit date yet.
Additional Comments:
To be completed By Subject: melondeca
Printed Name (screen name will do):
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?
{ x} yes
{ } 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.)
{ } Cold turkey
{ x} 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
{ } 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?
Are you still smoking?
{ } yes
{ x} no
Why?
Additional Comments:
To be completed By Subject:
Printed Name (screen name will do): opossum
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?
{ x} yes
{ } 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
{ x} Self help kits
{ x} Gum
{ x} Gradual reduction
{x } Other
Zyban, Hypnotism. (Nicorrette gum / patches. Alan Carr self help and the paid course)
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?
{x} 0 to 4 months
{ } 5 to 11 months
{ } 1 year or more
3 months seems to be the wall
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
Zyban. Some side effects prevented full course of medication
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 a killer
Are you still smoking?
{x } yes
{ } no
Why? - I’m addicted
Additional Comments:
A ban on public smoking is due in July in the UK. I expect that this will help as I smoke most when out for a drink…
To be completed By Subject:
Printed Name (screen name will do): badbadger
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?
{ } 1or 2
{X} 3 or 4
{ } 5 or more
I have never tried to quit smoking, but there have been three stretches of several months to a year in which I have not smoked.
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?
{ } 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.)
{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?
{X} yes
{ } no
Why? I enjoy smoking.
Are you still smoking?
{X} yes
{ } no
Why? I enjoy smoking.
Additional Comments:
I have smoked socially and for personal enjoyment off and on since I was 18. I’ve never tried or made an effort to quit, but depending on friends, how much I drink, my living situation, and simple lack of interest, I’ve gone without cigarettes anywhere from several weeks to a year or two. I’ve never smoked more than a few cigarettes a month, on average, and I’ve never consciously tried to quit, I just occasionally realize that I haven’t had a cigarette in six months or so.
To be completed By Subject:
Printed Name (screen name will do): iamthewalrus(:3=
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?
{ } 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?
{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
{ } 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 (22 years last May)
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? It was unhealthy, smelly, and ultimately dangerous. But when I began, I was trying to impress a girl who smoked. I didn’t end up with her, but I did end up with a twenty-four-year habit that might have killed me. I can’t think of a single benefit I ever got from smoking.
Are you still smoking?
{ } yes
{x} no
Why? I quit 22 hyears ago when I lost my voice (I was a singer). I had stopped for up to 8 weeks before, but this time I never took it up again. It was too late for my voice, though. . .singing, that is.
Additional Comments:
I had heard of all kinds of methods of quitting, including placebos (fake cigarettes that you sucked on to give the feeling that you were smoking), aversion therapy (in which you smoked continuously until the very idea of a cigarette made you sick, hypnosis, and nicotine patches. I never actually tried any of those, although I had seen many people try one or more of the methods without success. I knew the only thing that woulod work for me was cold turkey. I stopped and never started again. It took about three years for me to feel that I was actually a non-smoker, rather than a smoker who wasn’t smoking. I’m way past that now. I feel certain that if I hadn’t stopped when I did, I would have been dead by now, if not from lung cancer, then from a stroke or heart attack.
To be completed By Subject:
Printed Name (screen name will do): Largo62 (I’m actually 64 now–possibly thanks to my having quit smoking), real name Larry Gott
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
Date: January 4, 2007
Good luck on your science project. And, please! If you haven’t started smoking yet…don’t! If you have…stop! The longer you wait the harder it gets.
She’s about halfway there thanks to your help … any one else want to participate?