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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: Personal Action Plan
  • 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: How Much Will You Use Tobacco This Week?
    Print this out for your personal use.

    Monitoring your tobacco use is a great way to discover how much you're using and under what circumstances. In the next week, record on the form below every time you use tobacco.

    Day Time of Day Location / Feelings
         
         
         
         
         
         
         
         

    Record your observations by answering the following questions:

    What days did you use tobacco the most and why?

     

     

     

    What days did you use tobacco the least and why?

     

     

     

    Was a certain time of day or location most challenging?

     

     

     

    What can you do to ensure success in the days ahead?

     

     

     

    Source: Copyright 1998-2003 Discovery Hospital