Response Details

What's your date of birth?

I see you've provided your last name. To continue, please tell me your full date of birth in the format of month, day, and four-digit year.

Sure! Your first name is Juan, and your last name is Lopez. Now, can you please tell me your date of birth? For example, April 7, 1950.

Great. Now I need your date of birth. Please tell me the full date, including month, day, and four-digit year. For example, April 7, 1950.

I heard July. Can you tell me the full date? For example, July 15, 1980.

I heard July 19, 1987. Did I get that right?

I'm sorry, let me try again. Could you please tell me your full date of birth, including the month, day, and four-digit year? For example, April 7, 1950.

I want to make sure I have this right. Did you mean July 7, 1987?

What's your phone number?

I didn't catch the digits of your phone number. Please say your 10-digit phone number clearly.

Of course, take your time. Just let me know when you're ready to share your phone number.

I only heard 7 digits. I need all 10 digits of your phone number. Could you please say the full number again?

What's your email address? This will become your login.

I see. Could you please provide an alternative email address or create one for this purpose? It's necessary for your login.

I understand, but we do need an email address now to set up your login. If you don't have one, you can create a free email account with services like Gmail or Yahoo. Would you like to provide an email address now?

I need an email address, not a name. An email address looks like juan dot lopez at gmail dot com. What's your email address?

I'm having trouble understanding the email address. Could you spell it out more clearly? For example, if it's juan dot lopez at gmail dot com, say it just like that with the dot and at.

I need the full email address including the part after the at sign. For example, juan dot lopez at gmail dot com. What's the complete email address?

I need a valid email address to continue. It should look like your name at gmail dot com. What's your email address?

I need the part before the at sign too. For example, it could be juan lopez at gmail dot com. What comes before the at gmail dot com?

I need the complete email address. For example, juan at gmail dot com. What's your full email address?

Checking your eligibility. Please hold on a moment. What's your address?

We need your address to send you program materials and verify your eligibility for coaching services. What's your address?

I have 4130 Larchmont. Can you give me the city and state as well?

Let me quickly check your eligibility based on your address. Please tell me about your current health insurance. I'll read a list of options, and you can tell me which one describes your situation. a. Uninsured; b. Both Medicaid and Medicare (Dual Covered); c. Medicaid; d. Medicare; e. Military Insurance (TRICARE); f. Prefer not to say; g. Private/Commercial/Employer-Based; h. Other (a health plan that is not Medicaid or Medicare); i. I don't know.

I've saved your email as JuanLopez77778@gmail.com. If you need to change it later, you can let a coach know. For now, let's continue with your health insurance. Which option best describes your coverage?

Once you're enrolled, a coach will contact you to discuss your quit plan and nicotine replacement therapy options, including timing for patches. First, I need to finish gathering your information. Which health insurance option best describes your coverage?

I understand you're focused on getting the patches. To make sure we can provide them to you, I need to know your health insurance type first. Are you uninsured, on Medicaid, Medicare, private insurance, or something else?

To help you become tobacco-free, we can connect you with a live coach by phone, text, or chat. You can also choose our online program if you prefer using our digital tools. Which option sounds better for you — phone or web?

I understand you want the patches. To get them, you'll need to choose either phone support or our web program. Both options can help you get nicotine replacement therapy. Which would you prefer — phone or web?

With phone support, a coach will work with you on a schedule that fits your needs, usually a few calls over several weeks. If you prefer less contact, the web program lets you work at your own pace with online tools. Which would work better for you?

The schedule is flexible and based on what works for you. Typically, you'll have a few calls over several weeks, but your coach will work with your availability. So, would you like to go with phone support, or would you prefer the web program?

To help us better support you, how would you describe your current pregnancy or postpartum status, including any plans you might have to become pregnant?

Thank you for sharing. Here are the options you can choose from: a. I'm currently pregnant, b. I'm planning to get pregnant within the next 3 months, c. I'm currently breastfeeding, d. I've given birth within the last 6 months, e. I've given birth within the last 7 months to 1 year, f. None of the above. Please select the option that best describes your current status.

Are you Hispanic or Latino?

How would you describe your race?

I'm sorry, I didn't understand your response. Please select your race from the following options: a. American Indian or Alaska Native, b. Asian or Asian American, c. Black or African American, d. Native Hawaiian or other Pacific Islander, e. White, f. Not listed, g. I don't know, h. Prefer not to say.

I need you to choose one or more options from the list. You can say American Indian or Alaska Native, Asian or Asian American, Black or African American, Native Hawaiian or other Pacific Islander, White, Not listed, I don't know, or Prefer not to say. Which option or options best describe your race?

Do you have any of the following behavioral health conditions? I'll read a list and please tell me which ones apply to you. a. Anxiety; b. Attention Deficit Hyperactivity Disorder; c. Bipolar disorder; d. Depression; e. PTSD or recent trauma; f. Schizophrenia; g. Regular use of Cannabis; h. Regular drinking more than 5 alcoholic drinks in a day; i. Other drug abuse or Substance Use Disorder; j. None of these; k. I don't know; l. Prefer not to say.

Would you like to share your personal feedback on the program to help provide a better experience to members like you?

How would you describe where you are in your quit journey right now — have you already quit, do you feel ready to quit, or do you want to quit but aren't quite ready yet?

Setting a Quit Date will give you time to prepare and a better chance of quitting. If you don't have a Quit Date, we recommend setting one two weeks from today. When would you like to set your quit date for? You can always change this later.

Working with a coach is the best way to stay on track with quitting, and it's totally private and confidential. When can a coach call you during the week? - would you prefer mornings, afternoons or evenings?

When would you like a coach to call on the weekend? - would you prefer mornings, afternoons or evenings?

Quit For Life takes your privacy seriously. As part of providing services to you, we collect information from you and about you, such as information about you and your efforts to quit tobacco and nicotine. You may also provide us with details on smoking frequency and habits, and steps you've taken to quit. For more information on our privacy practices and your privacy rights under HIPAA please visit our website. By using Quit For Life services or registering as a user, you are agreeing to our Terms of Services. To review our Terms of Services please visit our website: rvohealth.com/rallycoach/terms. Would you like to receive emails about personalized feedback, program information and progress updates? If yes, your consent to receive these emails is not a condition of participating in Quit Services. Even if you do not opt in, you will still receive transactional communications such as personalized session reminders by joining the program. Please note: These emails may include your personal health information and may be tailored to your personal experience in Quit Services. Email is not a fully secure method of communication and carries some risk of being read by a third party. You may opt out of your consent to receiving emails by changing your email preferences. a. Yes; b. No.

Would you like to enroll in text messaging to receive program tips and reminders? a. Yes; b. No.

Would you like to enroll in Quit Buddy to receive automated tips and messages from an AI chatbot Coach? a. Yes; b. No.