Planning For Change: Thinking About Quitting Patient Worksheet

This simple worksheet helps patients plan to quit smoking and reflect on their motivations and previous attempts.

Understanding the reasons why you smoke, in addition to considering your smoking patterns and routines, are important to the design of a successful quitting plan. Consider the following before you quit:

Smokers don’t plan to fail. Most fail to plan. To plan for quitting, you should:

(1) identify triggers for smoking and how to cope with them, (2) identify persons to help you throughout your quit attempt, and (3) choose the best methods—for you—for quitting

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