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How to fill out the Lynn - Smoking Cessation The Winning Edge Self-Empowerment Programdoc online
This guide provides a comprehensive overview of how to effectively fill out the Lynn - Smoking Cessation The Winning Edge Self-Empowerment Program document online. By following these instructions, users will be able to navigate the form with confidence and clarity.
Follow the steps to complete the form successfully.
- Click the 'Get Form' button to access the document and open it in your preferred digital editor.
- Begin by filling out the section titled 'Strength of the Habit.' In this section, you will document the average number of cigarettes you smoke per day, the average number of puffs taken per cigarette, the number of days in a year, and the total years you have been smoking. Multiply all these numbers together to see the extent of your smoking habit.
- Next, move to the 'Social Support' section. List the names of individuals you will inform about your decision to quit smoking and provide the dates you contacted them for support. This helps foster accountability and a robust support system.
- Designate an 'Extra-Special Buddy.' Write down the name and contact information of someone who agrees to support you during your cessation journey. They can help keep you accountable at least once daily during the first two weeks.
- In the 'Reasons to Stop Smoking' section, articulate all the reasons you wish to quit smoking. Include the benefits of being a nonsmoker and the names of people you want to spend your life with as a healthier individual.
- Complete the 'Identifying Triggers' section by documenting situations, places, and emotional states that trigger your smoking urges. Understanding these triggers can aid in developing coping strategies.
- Fill out the 'Alternative Behaviors' section with constructive activities you can engage in instead of smoking when urges arise. Identify distractions that work for you during these moments.
- Detail your rewards for achieving your cessation goals in the 'Rewards for Achieving My Goal' section. Specify what rewards you will celebrate at one month, three months, and six months of not smoking.
- Complete the 'Behavioral Contract Not to Smoke' section by printing your name, signing, and having at least three witnesses co-sign. Make sure these individuals are supportive of your decision to quit.
- Lastly, save your changes to the document. You may choose to download, print, or share the form with your support network as needed.
Take action and fill out your smoking cessation form online today!
Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange.
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