No Smoking Contract

Contract to Quit Tobacco

The Contract to Quit Tobacco is a way to help you commit to your goal of quitting and staying tobacco-free. It is a short form you complete and sign in front of a witness, who could be a family member or close friend. By signing the form, you promise to quit smoking or using smokeless tobacco starting at a certain date, and to notify the witness if you relapse at any time.

The No Smoking Contract can be found on the American Heart Association Web Site.

A PDF Version of the No Smoking Contract is also available.

Smoking Fact

Of the 45.1 million adults who were smokers in 2005, an estimated 70 percent said they wanted to quit smoking.