Cigarette Self-Monitoring Logs
The page below is designed to help you keep track of and gradually reduce your cigarette use. To use
the log (1) cut along the dotted lines, (2) assemble the smoking self-monitoring logs in order of page
number, (3) staple at the top, (4) record the date and time you begin smoking each cigarette, and (5)
place the log behind the cellophane wrapper on the front of the cigarette box. Gradually try to
increase the time between cigarettes and decrease the number of cigarettes smoked each day. As
most packs of cigarettes contain 20 cigarettes, every two pages of this log will correspond to one
pack of cigarettes.
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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Cigarette Self-Monitoring Logs
The page below is designed to help you keep track of and gradually reduce your cigarette use. To use
the log (1) cut along the dotted lines, (2) assemble the smoking self-monitoring logs in order of page
number, (3) staple at the top, (4) record the date and time you begin smoking each cigarette, and (5)
place the log behind the cellophane wrapper on the front of the cigarette box. Gradually try to
increase the time between cigarettes and decrease the number of cigarettes smoked each day. As
most packs of cigarettes contain 20 cigarettes, every two pages of this log will correspond to one
pack of cigarettes.
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
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(1
#Cig. Date/Time Notes
11.
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13.
14.
15.
16.
17.
18.
19.
20.
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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(8
#Cig. Date/Time Notes
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(12
Cigarette Self-Monitoring Logs
The page below is designed to help you keep track of and gradually reduce your cigarette use. To use
the log (1) cut along the dotted lines, (2) assemble the smoking self-monitoring logs in order of page
number, (3) staple at the top, (4) record the date and time you begin smoking each cigarette, and (5)
place the log behind the cellophane wrapper on the front of the cigarette box. Gradually try to
increase the time between cigarettes and decrease the number of cigarettes smoked each day. As
most packs of cigarettes contain 20 cigarettes, every two pages of this log will correspond to one
pack of cigarettes.
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
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___________________
___________________
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___________________
___________________
___________________
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(1
#Cig. Date/Time Notes
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
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(2
#Cig. Date/Time Notes
21.
22.
23.
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28.
29.
30.
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(3
#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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(12
Cigarette Self-Monitoring Logs
The page below is designed to help you keep track of and gradually reduce your cigarette use. To use
the log (1) cut along the dotted lines, (2) assemble the smoking self-monitoring logs in order of page
number, (3) staple at the top, (4) record the date and time you begin smoking each cigarette, and (5)
place the log behind the cellophane wrapper on the front of the cigarette box. Gradually try to
increase the time between cigarettes and decrease the number of cigarettes smoked each day. As
most packs of cigarettes contain 20 cigarettes, every two pages of this log will correspond to one
pack of cigarettes.
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
#Cig. Date/Time Notes
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
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(1
#Cig. Date/Time Notes
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
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(2
#Cig. Date/Time Notes
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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38.
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40.
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#Cig. Date/Time Notes
31.
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#Cig. Date/Time Notes
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#Cig. Date/Time Notes
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