Welcome to this survey. Press Next to begin.





Please answer the following questions.





Are you currently trying to quit or cut down on smoking?





In your whole life, how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?

Input is not a number!



During the past 12 months, how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?

Input is not a number!



Have you ever been in behavioral therapy with a clinician for smoking? Please select "no" if you have taken medication without receiving behavioral therapy.





[if yes to ever in behavioral therapy] How long ago did you last receive therapy?





[if yes to ever in behavioral therapy] Did the therapy help you reduce your smoking?





In the past month, have you taken medication for psychiatric reasons (including stimulants and mood stabilizers)?





In the past month, have you used nicotine replacement therapy (NRT), such as a patch, gum, lozenge, nasal spray, or inhaler?





Congratulations for completing this survey! Press finish to continue.