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Have you tried using Harmless Cigarette by itself or together with NRT?

Used only Harmless Cigarette
Used Harmless Cigarette and other NRT
Other

Is this your first attempt to quit smoking? If not, how many times have you tried to quit?

Yes, this is my first time attempting to quit smoking.
I have attempted to quit more than 5-10 times before.
Other

Was there an issue with the product or was the product damaged?

The product I received was damaged. (Please explain)
There was no issue with the product, I just don’t like it.
Other

Have you tried or used other quit smoking products previously?

I have tried/used nicotine products. (gum, patches, lozenges)
I have tried / used smoking cessation medication.
Other

On a scale from 1-10 how committed are you to quit smoking?

[1 - being not so committed and 10 - being extremely committed]


(Enter your number here)

Return Shipping Label and Handling Chargee $19.95

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