CK STOP PROGRAM ELIGIBILITY Program Eligibility QuestionsDo you currently use tobacco products daily?(Required) Yes No Tobacco products include: cigarettes, cigars and chewing tobaccoDo you currently use e-cigarettes daily?(Required) Yes No E-cigarettes include: a variety of devices where users vape nicotine based liquids that may include pod, tank or disposable systems. Are you 18 years of age or older?(Required) Yes No Do you live in Chatham-Kent?(Required) Yes No Have you accessed the STOP program in the previous 6 months?(Required) Yes No Do you have a primary care practitioner in Chatham-Kent? (family doctor or nurse practitioner)(Required) Yes No Are you pregnant or breastfeeding?(Required) Yes No Do you have any generalized skin disorders? (e.g. severe eczema or allergy to medical adhesive)(Required) Yes No Do you have any of the following: life threatening arrhythmias, severe (unstable) or worsening agina, allergy to any component of NRT, currently using Varenicline (Champix)?(Required) Yes No
