Welcome to 'I CAN' Quit Questionnaire

How long have you been smoking?

How old were you when you started smoking?

Why did you start smoking?

Why do you smoke now?

How many cigarettes do you smoke a day?

What does it do for you?

What do you get out of smoking?

Which is the most important cigarette of the day? Why?

Why do you want to stop smoking now?

Do your friends smoke?

If you have any fears or worries about stopping smoking what are they?

Do members of your family smoke?

What habits if any have you over come? How have you done that?

Do people at your workplace smoke? Are you sure? If so WHY?

Have you tried to stop smoking before? If so when?

Think very carefully about this question.

Are you being totally honest with yourself