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What Has
Tobacco
Cost You?
Face the reality of your smoking.
Face the hope for recovery.
Nicotine Addiction:
The Price
Are you ready to face the costs?
Answer these questions
as honestly as you are
able, using your entire
life time of tobacco use.
A. Tobacco Product$
Loose Tobacco $____
Pipe Tobacco $____
Cigarettes $____
Cigars/Cigarellos $____
Chew $____
Snuff $____
Total $___________
B. $moking Paraphernalia
Rolling Papers $_____
Cigarette Tubes $_____
Rolling Machine $_____
Pipes/Pipe Cleaners $_____
Hookah Pipes $_____
Lighters/Matches $_____
Ashtrays $_____
Total $_________
C. Nicotine Replacement Product$
Nicotine Gum $_____
Electronic Cigarettes $_____
Nicotine Patches $_____
Lozenges $_____
Nasal Sprays $_____
Inhalers $_____
Total $___________
D. Smoking Cessation Method$
Medications $______
• Clonadine
• Zyban/Wellbutrin
• Champix
Hypnosis $______
Acupuncture $______
Counselling $______
Rehab $______
Total $_______
E. Collateral Damage$
Decreased value of home: 30% $_______
Decreased value of vehicle: 10 – 30% $_______
Burned or ruined furniture $_______
Burned or ruined clothes $_______
Fire in home or vehicle $_______
Increased costs of Life Insurance Policies $_______
Tobacco related dentistry $_______
Loss of work due to smoking related illness $_______
Medical costs $_______
Total $____________
Are you ready for
the Grand Total?
Before you add up all the
financial costs, let’s look
at other damages you
may not be aware of:
What about costs to those around you?
Did you:
• smoke while pregnant, or in the presence of pregnant
women?
• smoke around babies or children?
• enable minors to use nicotine?
• smoke around your, or other people’s pets?
• smoke in a prohibited or dangerous area?
• steal cigarettes?
• buy cigarettes while neglecting food or other necessities?
• throw your cigarette butts out the car window?
• empty your car ashtray on the street?
• use government or insurance money for products or
treatments related to your smoking?
• know that due to lost productivity, health and nicotine
withdrawal many times a day, employers are out $6000 for
every smoker?
What about costs to your relationships?
Did you:
• promise someone you would quit smoking and not?
• lie about your smoking to loved ones?
• choose only smoking friends or romantic partners?
• lose any relationships due to smoking?
• avoid activities like travel or movies, because you
couldn’t smoke freely?
• feel angry or abandoned by friends or family that quit
smoking?
What about cost to your self-respect?
Did you:
• scrounge & smoke someone else’s cigarette butts?
• ask for cigarettes from strangers?
• feel embarrassed or try to hide the smell on your
body, hair and clothes?
• feel embarrassed about yellowed teeth or fingers?
• feel guilt or shame due to smoking and/or inability
to stop?
• feel like a bad role model for your children or other
young people in your life?
Total of Financial Costs (A – E):
$_______________________
Grand Total of ALL COSTS:
________________________
________________________
Have you and your loved ones paid enough?
How much more are you willing to spend?
Nicotine Addiction:
How much more will it cost you?
www.serenityvista.com
Residential rehab for nicotine, alcohol and other drugs

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What Has Tobacco Cost You? Enough Already?

  • 1. What Has Tobacco Cost You? Face the reality of your smoking. Face the hope for recovery.
  • 2. Nicotine Addiction: The Price Are you ready to face the costs?
  • 3. Answer these questions as honestly as you are able, using your entire life time of tobacco use.
  • 4. A. Tobacco Product$ Loose Tobacco $____ Pipe Tobacco $____ Cigarettes $____ Cigars/Cigarellos $____ Chew $____ Snuff $____ Total $___________
  • 5. B. $moking Paraphernalia Rolling Papers $_____ Cigarette Tubes $_____ Rolling Machine $_____ Pipes/Pipe Cleaners $_____ Hookah Pipes $_____ Lighters/Matches $_____ Ashtrays $_____ Total $_________
  • 6. C. Nicotine Replacement Product$ Nicotine Gum $_____ Electronic Cigarettes $_____ Nicotine Patches $_____ Lozenges $_____ Nasal Sprays $_____ Inhalers $_____ Total $___________
  • 7. D. Smoking Cessation Method$ Medications $______ • Clonadine • Zyban/Wellbutrin • Champix Hypnosis $______ Acupuncture $______ Counselling $______ Rehab $______ Total $_______
  • 8. E. Collateral Damage$ Decreased value of home: 30% $_______ Decreased value of vehicle: 10 – 30% $_______ Burned or ruined furniture $_______ Burned or ruined clothes $_______ Fire in home or vehicle $_______ Increased costs of Life Insurance Policies $_______ Tobacco related dentistry $_______ Loss of work due to smoking related illness $_______ Medical costs $_______ Total $____________
  • 9. Are you ready for the Grand Total? Before you add up all the financial costs, let’s look at other damages you may not be aware of:
  • 10. What about costs to those around you? Did you: • smoke while pregnant, or in the presence of pregnant women? • smoke around babies or children? • enable minors to use nicotine? • smoke around your, or other people’s pets? • smoke in a prohibited or dangerous area? • steal cigarettes? • buy cigarettes while neglecting food or other necessities? • throw your cigarette butts out the car window? • empty your car ashtray on the street? • use government or insurance money for products or treatments related to your smoking? • know that due to lost productivity, health and nicotine withdrawal many times a day, employers are out $6000 for every smoker?
  • 11. What about costs to your relationships? Did you: • promise someone you would quit smoking and not? • lie about your smoking to loved ones? • choose only smoking friends or romantic partners? • lose any relationships due to smoking? • avoid activities like travel or movies, because you couldn’t smoke freely? • feel angry or abandoned by friends or family that quit smoking?
  • 12. What about cost to your self-respect? Did you: • scrounge & smoke someone else’s cigarette butts? • ask for cigarettes from strangers? • feel embarrassed or try to hide the smell on your body, hair and clothes? • feel embarrassed about yellowed teeth or fingers? • feel guilt or shame due to smoking and/or inability to stop? • feel like a bad role model for your children or other young people in your life?
  • 13. Total of Financial Costs (A – E): $_______________________ Grand Total of ALL COSTS: ________________________ ________________________ Have you and your loved ones paid enough? How much more are you willing to spend?
  • 14. Nicotine Addiction: How much more will it cost you? www.serenityvista.com Residential rehab for nicotine, alcohol and other drugs