Stop Smoking Forever

QUIZ

MY MOST IMPORTANT REASONS FOR SMOKING

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Circle the appropriate number:
1=Never
2=Sometimes
3=Frequently
4=Always
1 a.) I smoke when I need a pickup
b.) I smoke to keep from slowing down.
1 2 3 4
1 2 3 4
2 a.) I smoke for the pleasure of it.
b.) I like to light up when I am comfortable and relaxed
1 2 3 4
1 2 3 4
3 a.) I smoke when I'm angry.
b.) I smoke when I'm anxious.
c.) I smoke when I'm tense.
d.)I smoke when I'm depressed.
1 2 3 4
1 2 3 4
1 2 3 4
1 2 3 4
4 a.) I get anxious when I think I might run out of cigarettes.
b.) I get anxious if I must go somewhere where I will not be able to smoke.
1 2 3 4
1 2 3 4
5 a.) I smoke a cigarette within thirty minutes of getting up in the morning.
b.) I smoke when I'm not feeling well.
c.) I smoke a pack or more a day.
1 2 3 4
1 2 3 4
1 2 3 4
6 a.) Sometimes I smoke just to keep my hands busy.
b.) I smoke when I get bored.
1 2 3 4
1 2 3 4
When you have finished the quiz, go to the evaluation.