Saskatchewan Quit Smoking Challenge Follow-Up Survey

Thank you for participating in the 2024–25 Saskatchewan Quit Smoking Challenge, and for sharing your quit journey with us! Please know that the community of support does not end here - the Facebook Group will remain active and we encourage you to continue to share updates along your quit journey.

We appreciate you taking a moment to provide feedback on the challenge. Please note that your feedback may be used anonymously for funding purposes and impact reporting.

Complete this feedback form before March 7th to be entered to win 1 of 5 exciting grand prizes including Co-op gift cards of $1000, $750, $500, $250 and $100!

I acknowledge that my identity and responses will be kept confidential, and I consent to having only my responses from the registration pre-survey and the post-survey used for funding purposes, impact reports, and other reporting as Lung Saskatchewan sees fit.

I acknowledge that by completing this survey I will be entered to win one of the grand prizes. Should my name be drawn for one of the prizes, the prize will be sent to the address I have included in this form.

First Name*

Last Name*

Email*

Phone Number*

AddressSaskatchewan Quits is open to residents of Saskatchewan only.

City/Town

Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Postal Code

Age Demographic*

19-24

25-39

40-49

50-59

60-74

75+

Gender*

Male

Female

Non-binary

Prefer not to say

I identify as:

I identify as:

Are you an Indigenous person that is First Nations, Métis, or Inuit? *

Yes

No

Prefer not to say

How do you identify?

First Nations

Métis

Inuit

Prefer not to say

Other

Other

Are you a member of a visible minority? (Health Canada defines a visible minority as “persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour”)*

Yes

No

Prefer not to say

What is your annual household income before taxes and deductions?*

Less than $50,000

$50,000 to $100,000

More than $100,000

Prefer not to say

What was your goal for the Saskatchewan Quit Smoking Challenge?*

Quit

Reduce usage

Learn more

Other

Other

Have you had success in accomplishing your goal to quit?

Yes

No

Congratulations! What was your quit date?

That's okay, let us know what progress you made:

Have you had success in accomplishing your goal to cut back?

Yes

No

Congratulations! How much?

1-5 cigarettes LESS per day

6-10 cigarettes LESS per day

11-15 cigarettes LESS per day

16-19 cigarettes LESS per day

1 pack LESS per day

2 packs LESS per day

Other

Other

That's okay, let us know what progress you made:

Have you had success in accomplishing your goal to learn more?

Yes

No

Congratulations! What did you learn?

Why not?

Was there any major life event that impacted your quit smoking journey? Major life events could include the loss of a loved one, a job change, health concerns, or other big life changes.*

Yes

No

As of today, how many cigarettes do you smoke a day?*

0 cigarettes

1-5 cigarettes

6-10 cigarettes

11-15 cigarettes

16-19 cigarettes

1 pack

2 packs

3 packs or more

How did you feel about your progress throughout the challenge?*

Why?*

Did you request the free Nicotine Replacement Therapy sample kit courtesy of Nicorette?*

Yes

No

Did you *receive* the NRT sample kit?

Yes

No

Did you *use* the free NRT sample kit?

Yes

No

How helpful was the free NRT sample kit?

Did you use the coupon to access more?

Yes

No

What quit methods did you try throughout the challenge (select all that apply)?*

Nicotine replacement patch

Nicotine replacement gum

Nicotine replacement lozenge

Nicotine replacement spray

Nicotine replacement inhaler

Buproprion (Zyban, Wellbutrin)

Varenicline (Chantix, Champix)

Cytisine (Cravv)

Cold turkey

Slowly decreased my use

I don't know if I'll quit yet, I'm here to learn

Other (ex: E-cigarettes/vapes, acupuncture, hypnotism):

Other (ex: E-cigarettes/vapes, acupuncture, hypnotism):

What resources did you utilize?*

Saskatchewan Quits Facebook group

Smokers' Help Line

Talk Tobacco Help Line

Health Care Provider

Pharmacy Association of Saskatchewan List of Cessation-Trained pharmacists

Lung Saskatchewan Help Line

Other...

Other...

Did you have a quit buddy?*

Yes

No

Who was your quit buddy?

Partner

Friend

Family member

Colleague

Other...

Other...

Did you find it supportive to have a quit buddy?

Yes

No

Who did you tell that you had decided to quit or cut back smoking?*

I told no one

I told my quit buddy

I told a circle of friends/family

I told everyone I know

I posted or commented on the Sask Quits FB page

How confident do you feel about your quit journey to date?*

How prepared are you to continue your quit journey?*

How helpful did you find the Saskatchewan Quit Smoking Challenge?*

How motivated to quit or cut back smoking did you feel throughout the challenge?*

How supported did you feel by Saskatchewan Quits throughout the challenge?*

Please rate each item below based on how useful it was to you:

Weekly challenges*

Previous Sask Quits Resources (wellness sessions, meditation, previous webinars)*

Quit tips & facts*

Web resources*

Motivational Quotes*

Comments from other participants*

Ambassador Stories/Support*

Weekly emails*

Did the weekly and grand prizes motivate you to participate?*

Yes

No

What prizes would motivate you to participate again? (select all that apply)*

Cash/monetary

Restaurant/shopping gift cards

Gas/grocery gift cards

Travel/trips

No prizes needed

Other...

Other...

How did you feel about the length of the Saskatchewan Quit Smoking Challenge (November 25th, 2024 – February 14th, 2025)?*

What length of time do you suggest for future challenges?*

Now that the challenge is over, do you plan to continue to be a part of the Saskatchewan Quits Facebook Support Group?*

Yes

No

I did not join the Facebook group

Why Not?

Would you recommend the Saskatchewan Quits Facebook Support Group to a friend?*

Yes

No

I did not join the Facebook group

Why Not?

Would you participate in another Saskatchewan Quits Challenge in the future?*

Yes

No

Why Not?

Would you be interested in participating in future campaigns with Lung Saskatchewan as a Quit Ambassador like Dale, Lesley, Malcolm, and Leon?*

Yes

No

Contact me at

What could we do to improve Saskatchewan Quits?

What other topics or supports would help you on your quit journey?

Do you have any additional questions for us?

Please share any additional comments or a testimonial.

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