50% of survey complete.

Thanks for taking this brief survey. Your responses will help identify the proper resources needed to help smokers quit.

Survey feedback cannot be responded to directly. Questions and comments may be e-mailed to info@QuitNowIndiana.com.

* 1. Have you been thinking about quitting?

* 2. Have you tried to quit before?

* 3. Have you talked to a healthcare provider about quitting?

* 4. Why do you want to quit?

* 5. How long have you used tobacco?

* 6. Do you want help quitting?

* 7. Do you understand that nicotine is addictive and it takes time to break free?

* 8. Would you like helpful information about quitting?