Welcome to Day 2 . . .

Many times it is difficult to make a life change alone . . . Having someone to share your thoughts with and to give you encouragement is a benefit to success.  That is why we designed this intervention to assure a prepared Mentor and later a Phone Coach for your support.  Beyond that, a friend, neighbor, family member, or co-worker who is a non-tobacco product user is strongly recommended.  That is why we have included the form below for you to reflect on and consider.  Once you have, we suggest you discuss it with your Mentor.

To lend me emotional support—who is a non-tobacco user -- I have:

a. more than one other significant person interested in my efforts to quit forever

b. at least one significant other to help me

c. no one 

 1. Whom can you really count on to help you out of a crisis situation, even though he/she would have to go out of their way to do so?

First Name/Relationship to You: 

2. Whom can you talk with frankly without being careful about what you say?

Name/Relationship to You: 

3. With whom can you be totally yourself?

Name/Relationship to You: 

4. Whom can you count on to listen openly and uncritically to your innermost feelings?

Name/Relationship to You: 

5. Whom can you really count on to tell you, in a thoughtful manner, when you need to improve in some way?

Name/Relationship to You: 

6. If you have identified someone like this, is this person:

_____ available to you

_____ spouse

_____ other

_____ non-smoker

7. Would you be willing to enter into a contractual relationship with this person for support to quit tobacco use?   Yes,  No