Response Details

What's your date of birth?

I didn't understand the date you provided. Please tell me your full date of birth in the format of month, day, and four-digit year.

What's your phone number?

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

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

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.

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?

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?

Are you Hispanic or Latino?

How would you 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.

Do you think this will make it harder for you to quit?

I'm sorry, I didn't quite catch that. Please select from the following options: a. Yes, b. No, c. I don't know, d. 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.

Thank you for confirming your readiness. Could you please provide a specific date for your quit date? If you're not sure, we recommend setting it two weeks from today, which would be 2026-01-01.

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.