Surveys should never ask for any sensitive or secure data. Do not provide passwords, credit card numbers, identification numbers, or other sensitive information. Report Abuse.
Skip survey header

Pre-Quit Checklist

Make Sure You Are Prepared To Quit Smoking

1. Do you feel motivated to quit smoking?
2. Have you set a Quit Date?
This question requires a valid date format of MM/DD/YYYY.
calendar
4.

Have you been to TheQuitCo.com and gone through the 5 steps to create a quit smoking plan?
5. Did you sign up for Quit Texts?
6.

Before you quit, here is a quick checklist to make sure you have done everything to be as prepared as you can be. Please check all that you have done.  When you can check all the boxes you are ready!
This question requires a valid email address.
0%
Survey Software powered by SurveyGizmo
Survey Software