Response Details

What's your date of birth?

I need the full date of birth, including the year. Please provide your date of birth in the format YYYY-MM-DD.

What's your phone number?

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

It looks like you don't have an email address. Please provide an alternative email or create one to proceed.

I understand you don't have an email address. Unfortunately, we do need one to set up your account and login. If you'd like, you could create a free email with Gmail or Yahoo first, or we can connect you with a coach who can help you with other options. What would you prefer?

I can't create an email for you directly, but you can easily make a free one at gmail.com or yahoo.com on your phone or computer. Once you have it, come back and we'll continue. Or, I can connect you with a coach who can walk you through it. Which would you prefer?

Great! What's the email address you'd like to use?

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?

Thank you for letting me know. Since you're a male, the pregnancy or postpartum options don't apply to you. 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 'None of the above'.

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.

Thank you for sharing. OCD is not listed as one of the options. Please review the list and let me know which options apply to you.

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

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?

I understand you're feeling irritable. To help you better, please choose from the following options: a. I've already quit. b. I'm ready! c. I want to quit, but I'm not sure I'm ready.

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.

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.

Could you please give me the full date, including the day and year? For example, May 15, 2026.

I heard May 1st, 2026. Is that correct?

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.

Yes, we're almost done! Just a couple more quick questions. For this one, would you like to receive emails about your progress and program updates? You can say yes or 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.