HOME
MEDICAL ENCYCLOPEDIA
ONLINE TOOLS
HEALTH INFO
Related Info
  • The New You
  • Nutrition and Weight Loss
  • Exercise More
  • Stress Management
  • Stop Smoking
  • Healthy Weight Index
  • Healthy Weight: Stage 1
  • Healthy Weight: Stage 2
  • Healthy Weight: Stage 3
  • The Gym: Stage 5
  • Healthy Weight: Stage 5
  • Nutrition Center: Stage 1
  • Nutrition Center: Stage 2
  • Nutrition Center: Stage 3
  • Nutrition Center: Stage 4
  • Nutrition Center: Stage 5
  • The Gym: Stage 1
  • The Gym: Stage 2
  • Stress Management: Stage 1
  • Stress Management: Stage 2
  • Stress Management: Stage 3
  • Stress Management: Stage 4
  • Stress Management: Stage 5
  • Exercise and Stress
  • Aromatherapy Makes Medical Scents
  • Massage in the Mainstream
  • Stress Defined
  • Stop Smoking: Stage 1
  • Stop Smoking: Stage 2
  • Stop Smoking: Stage 3
  • Stop Smoking: Stage 4
  • Stop Smoking: Stage 5
  • Smoking Stage 4: Personal Wellness Contract
  • Smoking Stage 3: Control The Cravings Log
  • Smoking: How Much Will You Use Tobacco This Week?
  • Smoking Stage 1 Form: Think About It
  • Women Who Smoke
  • Children and Secondhand Smoke
  • Glamorous Cigars
  • Who Smokes the Most?
  • The Effects of Smoking: Top to Bottom
  • Smoking Among Older Adults
  • The Dangers of Secondhand Smoke
  • The Real Costs of Smoking
  • Fruits Lowest In Carbohydrates
  • Vegetables Lowest In Carbohydrates
  • Aspartame Controversy
  • Snack Smart For Healthy Teeth
  • Nutrition Stage 1: Think About It
  • Nutrition Stage 3: Personal Action Plan
  • Nutrition Stage 3: Healthy Eating Log
  • Nutrition Stage 4: Personal Wellness Contract
  • Smoking: Think About It
  • Preparing To Eat Healthier Form
  • Shoulder Pain
  • Treating Arthritis of The Hip
  • Exercise With Safety
  • The Power and Pitfalls of Andro
  • The Gym Stage 1: Think About It
  • The Gym Stage 2: How Active Are You
  • Stress Stage 1: Think About It
  • How Stressful Was Your Week? Form
  • Stress Stage 3: Personal Action Plan
  • Stress Stage 3: Stress Reduction Log
  • Stress Stage 4: Personal Wellness Contract
  • Steps to Healing
  • Glucosamine
  • Getting Started with the Gym
  • The Gym: Stage 3
  • The Gym: Stage 4
    • Smoking: Personal Action Plan
    Print this out for your personal use.

    I will quit on __________________.

     

    I've picked this date because:

    ___________________________________________

    ___________________________________________

    ___________________________________________

    ___________________________________________

     

    People I want to know about my decision to quit:

    ___________________________________________

    ___________________________________________

    ___________________________________________

    ___________________________________________

     

    Steps I will take to make quitting a higher proiority in my life:

    ___________________________________________

    ___________________________________________

    ___________________________________________

    ___________________________________________

     

    The options I've decided on with my doctor:

    ___________________________________________

    ___________________________________________

    ___________________________________________

    ___________________________________________

     

    Source: Copyright 1998-2003 Discovery Hospital