JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Have you successfully quit vaping e-cigarettes?
A short 5-question
WhyQuit
GoogleForms survey for successful e-cig quitters
Sign in to Google
to save your progress.
Learn more
How long has it been since you stopped vaping?
Less than a week
1-2 weeks
2-4 weeks
1-3 months
4-6 months
7-12 months
1-2 years
3-4 years
5 years or longer
Clear selection
What quitting method did you use to successfully stop vaping?
Cold turkey (abrupt nicotine cessation)
NRT (nicotine patch, gum, lozenge, spray or inhaler)
Gradual nicotine weaning/tapering by reducing nicotine level or number of puffs
Bupropion (Zyban or Wellbutrin)
Cytisine (Tabex, Recigar or other cytisine product)
Varenicline (Chantix or Champix)
Hypnosis
Switched to smoking
Switched to pouches
Switched to snus
Switched to heated tobacco
Switched to chewing tobacco or dip
Acupuncture or laser therapy
Clear selection
Which of the following quitting aids, if any, most helped you achieve success?
None. I basically quit unassisted.
A quitting app or quit counter/meter
A quitting book or ebook
The support of family or friends
A quitting support group
A telephone quit line
I received counseling
A quitting info website
My doctor
Clear selection
What was your primary reason for quitting vaping?
The financial costs or to save money
To reclaim my time
Wanting to end/arrest my vaping addiction
Concerns about Increasing difficulty breathing
Concerns about increasing anxiety or depression
Other noticeable health issues
Worry about not knowing vaping's the long-term health consequences
To regain mental and emotional clarity
To reclaim self-respect
Fertility issues, childbirth risks, or parenting concerns
Other:
Clear selection
How did your successful quitting attempt begin?
It was a spur of the moment decision. I just decided that it was time.
I picked a date and planned toward it.
I was unable to vape due to illness or injury, and simply continued once better.
My doctor told me that vaping was harming my health.
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms