STUDY INTAKE QUESTIONNAIRE
This study teaches interventions to assist in the cessation of cigarette smoking. Please read the Research Protocol Outline to understand the Study.
To be eligible to become a subject in this study, you must sign up for the set of workshops. By becoming a subject in this study, you will be able to repeat weekly workshops for 120 days. To maintain your ability to repeat workshops, you must be compliant with journaling, turning in your journal of smoking and initiating interventions, and being periodically interviewed on the information sought in the Intake Questionnaire during the study and monthly for six months after you exit the study. And you will consent to the use of data you submit with the understanding that your identity will not be disclosed.