Quit Companion

Let's Get Started

Registering for the Quit Companion is quick and easy. First, set up your account by providing the required registration information. Second, set up your text message preferences to receive messages to your mobile phone or hand-held device. Finally, enter your tobacco history to customize your account and click Register.

Step 1 of 3 - Set Up Your Account (Required)

Enter your account information in the spaces provided.
Items marked with an asterisk (*) are required.

Screen Name*:

Password*:

Verify Password*:

Email Address*:

First Name*:

Last Name*:

PA County*:

Sex*:Male Female

I am going to quit…*:

Step 2 of 3 - Set Up Your Text Messaging Feature (Optional)

The Quit Companion enables you to use SMS (or Short Message Service) to send text messages to your mobile phone or hand-held device†. To enable this option in your Quit Companion account, enter your mobile phone number and select your provider below.

Mobile Number:
(ex: 123-456-7890)

Mobile Provider:

Step 3 of 3 - Additional Details (Optional)

You can further customize your Quit Companion account by entering the additional details requested below.

Age:

Race:

On average, how many cigarettes, cigars, or pipes do you smoke each day?:

How long have you been smoking?

How many times have you tried quitting smoking?:

How did you hear about DeterminedToQuit.com?:

If other, please specify:

†Standard text messaging rates apply

Smoking Fact

When you quit smoking, your risk of stroke decreases steadily. Former smokers have the same stroke risk as nonsmokers after 5 to 15 years.