Get ready to deal with high risk situations

Some situations are conducive to relapses. You will cope better if you are prepared. Complete the table below; you will obtain a personal report to help you deal with situations conducive to relapses. Work primarily on situations where you do not have confidence in your ability to resist cigarettes.

PDF version to fill

To pre-fill the emergency plan, please fill in the fields below and click on the button at the bottom of the page.

Upset, nervous, anxious or depressed

  High risk situations 1

  My strategy for resisting::

  Confidence (1-4)*


  High risk situations 2

  My strategy for resisting::

  Confidence (1-4)*


  High risk situations 3

  My strategy for resisting::

  Confidence (1-4)*

With smokers

Need to smoke, alcohol, meal, coffee or tea

Username/first name

Quit Date (past or future)

*Your confidence in your ability to resist the urge to smoke in this situation:
1 = not at all confident, 2 = a little confident, 3 = somewhat confident, 4 = completely confident