The Butt Stops Here Survey Question Title 1. Evidence suggests that using nicotine replacement products and learning the tricks to quitting increases success.Are you interested in trying to quit smoking? Yes No Question Title 2. Are you thinking about quitting soon? Yes No Question Title 3. Are you ready to plan how you will quit? Yes No Question Title 4. Are you in the process of trying to quit? Yes No Question Title 5. Are you trying to stay smoke free? Yes No Question Title 6. If you were offered free help in quitting - would you attend? Yes No Question Title 7. Which location would be the easiest for you? At the WIC building(Public Health Services-Liberty) At my local community center/town hall At my local church At place of employment Question Title 8. What town do you live in? Question Title 9. What time of the day is the best for you? Mornings Afternoons before 3pm Evenings before 8 pm Question Title 10. If you would like us to contact you if a support group becomes available at a time convenient for you - please leave your name and phone or address Done