Circle the appropriate number:
1=Never
2=Sometimes
3=Frequently
4=Always
1. a.) I smoke when I need a pickup. 1 2 3 4
b.) I smoke to keep from slowing down. 1 2 3 4
2. a.) I smoke for the pleasure of it. 1 2 3 4
b.) I like to light up when I am comfortable
and relaxed. 1 2 3 4
3. a.) I smoke when I’m angry. 1 2 3 4
b.) I smoke when I’m anxious. 1 2 3 4
c.) I smoke when I’m tense. 1 2 3 4
d.) I smoke when I’m depressed. 1 2 3 4
4. a.) I get anxious when I think I might run out
of cigarettes. 1 2 3 4
b.) I get anxious if I must go someplace where I
will not be able to smoke when I really want to. 1 2 3 4
5. a.) I smoke a cigarette within thirty minutes of
getting up in the morning. 1 2 3 4
b.) I smoke when I’m not feeling well. 1 2 3 4
c.) I smoke a pack or more a day. 1 2 3 4
6. a.) Sometimes I smoke just to keep my hands busy. 1 2 3 4
b.) I smoke when I get bored. 1 2 3 4
Wait for next post how to EVALUATION all this.
Saturday, August 18, 2007
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