Tobacco Cessation Group Meeting

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Pride Center of Vermont's Tobacco Cessation Group will begin In the next few weeks. The group meets once a week for 4-5 weeks. Each session lasts 45 minutes to an hour. The group will be a place where folks access support and resources throughout there quitting process. Nicotine replacement products (patches, gum, etc) will be provided free of charge. Please indicate which days of the week and times would work for a regular meeting.
If you have any questions please contact Mike 802.860.7812 or email Mike@pridecentervt.org

Question Title

* 1. How would you like to be contacted?

Name:

Email Address: *

Phone Number (optional):

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* 2. Which days/times work best for you? (Each weekly session last 45min - 1 hour) CHECK All that apply)

Sundays (Morning 9-11am)

Mondays (Morning 9-11am)

Tuesdays (Morning 9-11am)

Wednesdays (Morning 9-11am)

Thursdays (Morning 9-11am)

Fridays (Morning 9-11am)

Saturdays (Morning 9-11am)

Sundays (Afternoon 12pm - 4pm)

Mondays (Afternoon 12pm - 4pm)

Tuesdays (Afternoon 12pm - 4pm)

Wednesdays (Afternoon 12pm - 4pm)

Thursdays (Afternoon 12pm - 4pm)

Fridays (Afternoon 12pm - 4pm)

Saturdays (Afternoon 12pm - 4pm)

Sundays (Evening 5pm - 7pm)

Mondays (Evening 5pm - 7pm)

Tuesdays (Evening 5pm - 7pm)

Wednesdays (Evening 5pm - 7pm)

Thursdays (Evening 5pm - 7pm)

Fridays (Evening 5pm - 7pm)

Saturdays (Evening 5pm - 7pm)

Other (please specify)

Question Title

* 1. How would you like to be contacted?

Question Title

* 2. Which days/times work best for you? (Each weekly session last 45min - 1 hour) CHECK All that apply)

Question Title

* 3. What would you like to get out of this group? (optional)