Tobacco self-test
why do I smoke?
People smoke for different reasons. Try to figure out why you smoke and what situations/environments will be the hardest for you to cope with.
I smoke when I am under pressure.
Yes___ No___
I smoke when I am with my friends.
Yes___ No___
I like to smoke when I take a break.
Yes___ No___
I want to have a cigarette when I see someone else smoke a cigarette.
Yes___ No___
Smoking is comforting and relaxing.
Yes___ No___
Why do I want to quit?
I am tired of getting winded and short of breath when I use the stairs or try to do moderate physical activity.
Yes___ No___
I want to quit so my breath, hair, clothes, house, and car do not smell like an old pack of cigarettes.
Yes___ No___
I do not like spending all of my money on cigarette.
Yes___ No___
I am bothered by my frequent coughing outbursts.
Yes___ No___
I know that my smoking bothers my family and friends and I am tired of feeling guilty about it.
Yes___ No___
I am tired of not being able to smoke where I want to.
Yes___ No___
I want to have more energy and stamina.
Yes___ No___
I know that I could die somday from smoking.
Yes___ No___
is this the right time to quit for me?
My life is mostly stress-free at the current time.
Yes___ No___
I am completely dissatisfied with my smoking and I sure I want to quit.
Yes___ No___
I have health problems that make me realize I need to quit.
Yes___ No___
I am willing to make the time that I will need to focus on quitting.
Yes___ No___
I have a support system who will assist me with my efforts to quit.
Yes___ No___
My life is stressful, but I want to quit enough to overcome the stress.
Yes___ No___
If you have answered YES to more of these questions than NO, then it is probably a good time for you to consider quitting.
Am i ready to quit?
I am ready and want to quit smoking.
Yes___ No___
I dislike the negative aspects of smoking.
Yes___ No___
I am worried about the negative side-effects smoking has on my health.
Yes___ No___
I know why I haven't been able to quit in the past and I believe that I can overcome those problems.
Yes___ No___
I amsmoking because I want to bot because someone else is talking me into it.
Yes___ No___
I have a plan for how to quit.
Yes___ No___
I am ready to make quitting smokinga priority in my life.
Yes___ No___
What is my plan?
I know when it will be the hardest for me not to smoke.
Yes___ No___
I have set a date when I will quit.
Yes___ No___
I have a physical activity plan in place.
Yes___ No___
I have made a deal wiht myself to stop.
Yes___ No___
I have asked my family and friends for support.
Yes___ No___
I have thought about ways to reward myself for not smoking.
Yes___ No___
steps to stopping!
Understand why you smoke.
Begin to cut down on the number of cigarettes you smoke per day.
Get rid of ashtrays, lighters and matches.
Clean the interior of your car.
Stock up on low-calorie snacks and gum.
Make lists of why you want to quit
Set a date that means something to you.
REWARD yourself for not smoking!