Freedom From Smoking® Facilitator Resources

Facilitators like you are the foundation of the Freedom From Smoking® program. That's why we created this website. It's your source for tools to help your clinics run smoothly and effectively.

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Program Materials & Updates

This section includes PDF versions of many of the forms used during the Freedom From Smoking clinic. The forms marked with an asterisk (*) contain fields where you can fill in dates, times etc.

NOTE: You can only save that information if you use the full version of Adobe Acrobat. If you use Acrobat Reader, you will only be able to print your updated form, not save it. When you close the document, the content you entered in those fields will be lost.


Are You Ready to Quit? Questionnaire

English | Spanish


Registration Form and Questionnaire

English | Spanish


Certificate of Quitting*

English | Spanish


Session Dates and Times*

English | Spanish


Preparing to Quit Questionnaire

English | Spanish


Certificate of Completion*

English | Spanish

Video Links

This section contains links to videos that you may find useful during your Freedom From Smoking clinics. It will be updated over time with additional videos suitable for use during the clinic.

Marketing Support

Use these tools to promote Freedom From Smoking® to businesses, hospitals, community organizations and others.

Additional Resources