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Stop-tobacco.ch - Help and advice on quitting smoking

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Help and advice on quitting smoking

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
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



  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)*
  

Need to smoke, alcohol, meal, coffee or tea



  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)*
  

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