Follow up questionaire

The following questionnaire was created to determine the effectiveness of using our book,"How to Quit Smoking Without Willpower or Struggle" as a primary tool to aid in the permanent termination of a smoking addiction. It was designed to solicit information from the actual user of the system. If you have used the book for any length of time, please answer the questions to the best of your ability.

How did you get the book?
I bought it for myselfIt was given to me

How long have you had the book?
Less than one month 1-3 months Over three months

Did you start counting your cigarettes?
Yes NoIf not, why not?

Did you continue counting?
Yes NoIf not, why not?

Did you initially expect the system to work?
Yes NoIf not, why not?

Do you still believe the system will work?
Yes NoIf not, why not?

After reading Chapter 1, did you wait the week while counting before reading Chapter 2?
Yes NoIf not, why not?

Did you change brands?
Yes NoIf not, why not?
If so, did that help you lose the desire to smoke?
Yes NoIf not, why not?

Are you still following the instructions in the book?
Yes NoPlease explain.

If so, do you find them...
Easy Hard So soIf hard, why?

Did you develop a "mantra"?
Yes NoIf so, what is it?
If so, how often do you use it?
Once a day More Less
If not, why not?

Do you speak to the cigarettes out loud?
Yes No
If so, how often? (check all that apply)
Every time About half the time Once in a while
Only when I'm aloneIf not at all, why not?

Did you play with "the pose"?
Yes NoIf so, how many times? Just once Several times
Very frequentlyIf not, why not?

Did you identify any reasons you started and continued to smoke that you did not realize before reading the book?
Yes No
If so, please list as many as you can think of right now.

Did you learn to begin to "pick your shots" (smoke when you really wanted or needed to, and not just mindlessly)?
Yes NoAny comment about this?

Have you started feeling the negative physical effects (nausea, light-headedness, irritation in the throat, etc.) of the smoke that you felt when you first started smoking?
Yes No
If so, which ones?

Have you begun to do the self-hypnosis exercise to change your original decision to smoke?
Yes No
If not, why not?
If so, how often do you do the exercise?
If so, did you begin to remember details of the original decision?
Yes NoAny comment?

Have you begun to feel like a pawn in the tobacco company's game to profit by your loss?
Yes NoAny comment?

Did you take a trip to any hospital or lung wards?
Yes No
If so, what did you feel during and afterward?
If not, why not?

Are you smoking fewer cigarettes and/or less of those cigarettes now than you did before you got the book?
Yes No Not surePlease explain.

Do you now believe that you are on your way to ending your addiction/habit forever?
Yes NoIf not, why not?

Is there any part of the book or system that you would change, amplify, or delete?
Yes No
If so, which or what and how?
I would...

If you could get one-on-one telephone support for the system, would you use it?
Yes No Maybe

There is a "quitters' chat room" on the PresMark website. Are you interested in using it?
Yes NoMaybe

There is a "Quit Smoking" Forum page (bulletin board) on the site. Are you interested in using it?
Yes NoMaybe

In your own words, please offer your experience (be it positive or negative) with using the system.

May we publish your comments on the site, in print, and in other media? (Only your name and city would be released.)
Yes No
If so, may we publish your email address as well?
Yes No

This information will not be release to any third party!!!

Your name

Email address

Telephone number
(No salesman will call!)

Thank you very much for answering these questions. Your information will help us greatly when revising and editing the next edition of "How to Quit Smoking Without Willpower or Struggle".

Mark Whalen