We will try our best to help.
We are a startup serving Michigan and Massachusetts that helps people quit smoking for free (we bill your insurance company) with personalized telephone counseling and an app.

We want to step up in this time of need to help people to quit smoking because there is evidence to suggest that smokers could be at higher risk of COVID-19 infection.

Please fill out your details below if you are interested in receiving free counseling and support during this time and we will reach out to you. You responses will help us a lot to put you in touch with the correct counselor.

*NOTE: We are receiving a lot of requests and trying to get through them all, so PLEASE continue to seek other forms of quitting support while we get back to you.
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First Name *
Last Name *
Email Address *
Phone Number (optional)
What state do you live in? *
Do you have an Android/Samsung or an iPhone? *
How many cigarettes do you smoke per day? *
How long after you wake up do you have your first cigarette? *
How motivated are you to quit smoking within the next 30 days? *
Least Motivated
Most Motivated
How confident are you that you could be successful at quitting smoking? *
Least Confident
Most Confident
What is your annual income, roughly?
Clear selection
What is the nature of your income?
Clear selection
Phone Number *
Do you have any existing medical conditions?
Clear selection
What insurance do you have? *
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