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Smoker's Recovery Plan

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Quit Smoking Buddy Phone# ________________

Doctor Phone# ___________________________

Quit Date _______________________________

Survival kit materials

List those items and activities that will help you get through those crucial first few days

1._________________________________

2._________________________________

3._________________________________

4._________________________________

5._________________________________

Stress reducers

List those activities that you have chosen to help reduce the pressures of nicotine withdrawal and staying smoke-free.

1._________________________________

2._________________________________

3._________________________________

4._________________________________

5._________________________________

Recovery tasks

List those tasks/activities that will need your special attention in the future in order to remain smoke-free.

1._________________________________

2._________________________________

3._________________________________

4._________________________________

5._________________________________

Reviewer Name: Godsey, Cynthia M.S., M.S.N., APRN;Lambert, J.G. M.D.
Date Last Reviewed: 11-05-2004
Published Date: 04-07-2005
 

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