Have you tried to quit without success? Yes No

Did you get too “stressed out” when you tried to quit? Yes No

Have you smoked for a long time? Yes No

Are you embarrassed about your smoking? Yes No

Do you have health problems related to smoking? Yes No

Has your workplace gone smoke-free? Yes No

Does your smoking contribute to family or emotional problems? Yes No

Are you fed up with being addicted to tobacco? Yes No

Has your doctor told you to quit? Yes No

Do you really want to quit? Yes No

If you answered "Yes" to any of these questions, the Tobacco Prevention and Treatment Program can help you! Take the first step now. Call 609-653-3440