Medical Stop Smoking Center - Test your Potential for Success

	• overview

	• the treatment

	• cost

	• insurance information

	• about your visit

	• common questions

	• nicotine addiction

	• the medicines

	• test your potential

	• location / appointments

	• for your Physician

Test Your Potential for Success

Take a minute and see if Medical Stop Smoking Center's program is right for you. We understand that no program is right for everyone, and our dedication to providing you with the best treatment available requires that we establish you as a potentially successful candidate with these key questions:

1. Are you willing to commit to a serious effort to quit?

2. Do you score 9 or less on the following Nicotine Dependency Test?

IF YOU ANSWER YES TO THE ABOVE KEY QUESTIONS,
Call Us Today at 888-464-9326

QUESTIONS	ANSWERS
1. How soon after you wake up in the morning do you smoke your first cigarette?	Within 5 minutes 6 to 30 minutes 30 to 60 minutes After 60 minutes
2. Is it difficult for you to refrain from smoking in No Smoking areas?	Yes No
3. Which cigarette would you hate to give up most?	First one in the morning All others
4. On average, how many cigarettes do you smoke per day? (20 per pack)	10 or less 11 to 20 21 to 30 31 or more
5. Do you smoke more frequently during the first hours after waking than during the rest of the day?	Yes No
6. Do you smoke when you are ill in bed for most of the day?	Yes No

777 Cleveland Ave

Suite 701

Atlanta, GA 30315

Phone: 404-255-6996

Toll Free: 888-464-9326 .