Thank you for your interest in our research study


The following screening survey is setup to determine if you meet the basic criteria for our current research study, 'Quit on the Go'. The survey should typically take 3-5 minutes to complete.

Once your information is reviewed by someone on the research team, and you appear to be eligible to participate, they will follow-up with you via phone call.

Any information you provide in this survey is kept secure and confidential, and we do not share your information with outside parties.

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.