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CONTACT
0121 318 9318  or  nssc@thepeople.org.uk

WHICH THERAPY?

If you don't know which therapy to choose, let us help you. Just complete this questionnaire and we will get back to you.

HOW MANY DO YOU SMOKE EACH DAY?
WHAT METHODS HAVE YOU TRIED PREVIOUSLY?

On a scale of 0-10, how successful have you been with each of the following methods?

  012345678910 Not Tried
Nicotine Replacement Products
Zyban
Champix
Hypnotherapy
Acupuncture
A. Carr's Easyway
Electric Cigarettes
A FEW MORE QUESTIONS
Why can't you stop smoking?
Do you believe you are addicted to nicotine?
Are you afraid of failing to stop?
Are you afraid of succeeding?
What is your main problem?
ANYTHING ELSE YOU'D LIKE TO TELL US?
CONTACT DETAILS
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