Submit Your Success Story

Welcome to The Stop Smoking Center Success Story Submission Page - submit your story!

To submit your success story, or to nominate someone who you feel has an inspiring story to share, please fill in the nomination form (below).

Each month, our Support Staff will select the most inspiring Success Story! As a token of recognition, each Success Story recipient will receive a Stop Smoking Center t-shirt and key chain. Winners must supply a mailing address to our Support Staff.

If you are nominating someone else, please fill in as much information as you can supply. Judging and selection criteria can be found at the bottom of the submission form.

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Success Story Submission Form

• Is this submission for you, a family member, or for someone else? Myself
  Someone Else
  A Family Member
  
  
• What is your first name, or the first name of the person you are nominating?
  (if applicable, we suggest entering the nickname used in the Support Group)
  
  
  
• Quit date: 
  Select a Date

  * Do not enter the user’s anniversary date, enter their exact Quit Date.

• Please outline your smoking history.
  You may want to tell us how long you smoked, how many cigarettes a day you used to smoke, how many unsuccessful quit attempts you’ve had in the past, and why you started smoking in the first place.
  
  
  
• What motivated you to quit this last time?
  
  
  
• Tell us what was different about this final quit, its tough and easy points, or the point in which you saw some "light at the end of the tunnel":
  
  
  
• What did you use or what techniques did you use to resist cravings?
  
  
  
• Did you have any major slips? And if you did, what did you learn?
  
  
  
• Do you have insight or advice for others?
  
  
  
• If you are nominating someone else, what can you tell us about their quit?
  
  
  
• Would you like to be notified by email when the Success Story of the month is announced? Yes
  No
  
  
• What is your email address:
  
  (Your email address will only be used to notify you or the person you are nominating if the story is selected, or if you select to be notified when Success Stories are announced. We do not distribute email addresses).

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  Judging and Selection Criteria

  The judges of the Success Story of the Month are the support staff of The Stop Smoking Center. When evaluating nominations, The Stop Smoking Center support staff looks for stories from those who have made extraordinary changes in their lifestyle following a quit attempt. Changes may include but are not limited to changes in areas such as outlook on life, overcoming odds, dealing with frustrations or tempting situations, dealing with illness, coping with friends or family members who smoke, and supporting others.

  The judges also consider an overall increase in awareness of particular health problems, motivation, and an overall positive outlook on the quit smoking process.

  Monthly winners will be notified before they are announced. No product purchase required. The Stop Smoking Center reserves the right to change judging and selection criteria at any time.

  
  
  

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