register- SHL website – Smokers Helpline

First we will need your name. You will create your own username and password. Then we'll go down through some very brief questions to help you decide which tools and supports you'd like to avail of under the Mindful E-Quit Program.
Name*
Username (to use when logging in)*
Create a Password
Enter Password Confirm Password

We ask some questions about your smoking history to help us personalize the information we'll deliver to you. Please let us know more about where you are currently at in the process of quitting.
Which of the following best describes you?
When did you quit?
MM slash DD slash YYYY
Do you currently smoke cigarettes:
How many cigarettes do you smoke per day on the days that you smoke?
How ready do you feel to quit?
- Planning to quit in the next 30 days
- Planning to quit in the next 6 months
- Not planning to quit in the next 6 months
How soon after you wake up do you smoke your first cigarette?
During the past 12 months, how many times did you stop smoking/using tobacco for at least 24 hours because you were trying to quit?

There are a variety of ways the Smokers' Helpline can deliver helpful information to help boost your motivation and readiness to quit smoking tobacco.
Would you like to receive inspirational text messages on the topic of mindfulness and quitting smoking?
You will receive 1 text per day during the weekdays (5 texts per week).
Text Messages
- yes
- no
Would you like to receive emails on the topic of mindfulness and quitting smoking?
You will receive 1 email per week for 5 weeks.
Emails
- yes
- no

Based on the selections you indicated, we'll ask you for your contact information so we can deliver your requested programs. This information is protected by the NL Smokers' Helpline and will not be shared or sold to any outside agencies.
Would you like a follow-up phone call from one of our 'quit coaches' to further discuss your progress and ways that you can integrate mindfulness into your quit plan? This is an excellent opportunity to ask any questions you may have and to get some extra support. We can also let you know about other Smokers' Helpline services available.
Phone Call
- yes
- no
Thank you for these selections. We'd also like to remind you that you are welcome to connect with the Smokers' Helpline by phone (call 1-800-363-5864), text (709-700-7002), email (shl@nf.lung.ca) and online chat (click on the side 'pop-out' chat bar).

Phone Number for Texts (including area code)
*only for residents of Newfoundland and Labrador, Canada
Phone Number for Phone Calls (including area code)
When we try calling, is it okay for us to leave a message if someone else answers the phone or if we reach a voice mail?
- Yes
- No thanks
What is the best time for us to try calling?
- Morning
- Afternoon
- Evening
- Anytime
Email*

There are a few quick demographic questions which are asked for statistical purposes. This lets us know if we are reaching people of different ages, from different areas of the province, etc. We'd like to remind you again that everything you share with the NL Smokers' Helpline is confidential.
Gender
- male
- female
- other/prefer not to answer
Year of birth (YYYY)
What is your postal code?*
How did you hear about the NL Smokers' Helpline website?

If you have any specific questions, or if there is any other information you'd like to share with our quit coaches about your quit-smoking journey, then please feel free to write us a message below.
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