MY QUIT PLAN __________________________
How ready am I to quit tobacco ? 0 1 2 3 4 5 6 7 8 9 10
Not ready Somewhat ready READY !
The REASONS I am ready to quit :__________________________________________ ____________________________________________________________________ My LAST date of tobacco use :_____________________________________________ My support person for quitting :____________________________________________ My tobacco TRIGGERS and how I will OVERCOME them : Mark plan ( s ) to overcome triggers .
• EMOTIONAL : |
|
|
|
Being stressed or upset : |
n Deep breaths |
n Call someone |
n Exercise |
n Other ______________________________________________________________
• SOCIAL : |
|
|
|
Drinking alcohol : |
n Drink something different |
n Chew gum |
n Avoid alcohol for now |
Being with smokers : |
n Go somewhere else |
n Ask them not to smoke by you |
|
n Chew gum |
|
• HABIT : After eating : n Start the dishes n Go for a walk n Drink water n Have a low-cal treat Drinking coffee : n Drink something else n Change routine n Take a shower Boredom : n Think of reasons to quit n Start a hobby n Do something you put off
TREATMENT I WILL USE TO HELP ME QUIT
Using a medication AND talking with a counselor increases your chances of quitting for good .
• Medication in the hospital : n Zyban™ n Nicotine patch n Nicotine gum n Chantix™
• Ask for prescription medication upon discharge : n Zyban™ n Nicotine patch n Nicotine gum n Chantix™
• Sign up for the Alabama Quitline ( 800-QUIT-NOW ): Telephone counseling and , if you qualify , free nicotine patches : n Yes n No
• Other :______________________________________________________________ ____________________________________________________________________