Your Pledge of Support

Providing support and encouragement to a loved one when they quit smoking can be very helpful. Offer to be there for them when they need your help or when they just need to talk about what they are feeling.

Talk with them about how they are getting prepared to quit and discuss

• Their hardships and benefits of quitting
• The specific things you can do to help them
• How they will cope in difficult situations
• How they can reward themselves (you can help here!)

Print this page and complete the form with the person who is quitting. Click here for a printer friendly version of the Quit Smoking Support Pledge.

Support Pledge

I, ________________________________ (name of support person) promise to do everything possible to help ___________________________ (name of person quitting) to achieve her/his goal of quitting smoking.

We have agreed that I will help in the following ways:

_________________________________________________

_________________________________________________

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If he/she reaches their goal of remaining smoke free for ____ (number) months, we will celebrate this milestone together by ______________________________________ (reward or special event).

Signature: ____________________________________
                 (person quitting)

Signature : ____________________________________
                  (support person)

Date: _______________________