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Which of Allen Carr's Easyway products have you used?*

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We recommend that you contact the center that you attended, who will provide advice and support.

Alternatively, please continue to complete this form.

Please tell us which Easyway method you are enquiring about*

Please select the program that you would like support with*

Please select the program that you are contacting us about*

Which Drug are you seeking help with?*

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(If outside of the UK, please state your timezone and best times to call you to discuss dates and any queries you might have)

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Deadline

When do you need a response by in case of urgent deadlines?

We're so sorry to hear that you have had difficulties with quitting smoking with Allen Carr's Easyway. Problems are rare and can usually be solved easily and swiftly once we have established the exact nature of the issue or issues involved.

In order to help us provide you with clear, effective, tailored advice please answer the following questions in as much detail and with as much clarity as possible.

Your answers will be reviewed by a Senior Facilitator at Allen Carr's Easyway who will provide the advice you need in order to be a HAPPY non-smoker and to stay a HAPPY non-smoker.

Please describe your experience including details of previous attempts/successes where relevant. Please remember - the more information you can provide us - the more effective the advice we can offer:

We're so sorry to hear that you have had difficulties with quitting drinking with Allen Carr's Easyway. Problems are rare and can usually be solved easily and swiftly once we have established the exact nature of the issue or issues involved.

In order to help us provide you with clear, effective, tailored advice please answer the following questions in as much detail and with as much clarity as possible.

Your answers will be reviewed by a Senior Facilitator at Allen Carr's Easyway who will provide the advice you need in order to be a HAPPY non-drinker and to stay a HAPPY non-drinker.

Please describe your experience including details of previous attempts/successes where relevant. Please remember - the more information you can provide us - the more effective the advice we can offer:

We're so sorry to hear that you have had difficulties with losing weight with Allen Carr's Easyway. Problems are rare and can usually be solved easily and swiftly once we have established the exact nature of the issue or issues involved.

In order to help us provide you with clear, effective, tailored advice please answer the following questions in as much detail and with as much clarity as possible.

Your answers will be reviewed by a Senior Facilitator at Allen Carr's Easyway to Lose Weight who will provide the advice you need in order to enjoy a healthier way of eating.

Please describe your experience including details of previous attempts/successes where relevant. Please remember - the more information you can provide us - the more effective the advice we can offer:

We're so sorry to hear that you have had difficulties with quitting with Allen Carr's Easyway. Problems are rare and can usually be solved easily and swiftly once we have established the exact nature of the issue or issues involved.

In order to help us provide you with clear, effective, tailored advice please answer the following questions in as much detail and with as much clarity as possible.

Your answers will be reviewed by a Senior Allen Carr's Easyway Facilitator who will provide the advice you need in order to be HAPPY and free.

Please describe your experience including details of previous attempts/successes where relevant. Please remember - the more information you can provide us - the more effective the advice we can offer:

Which center did you attend?*

The approximate date that you used Allen Carr's Easyway method?*

Are you currently smoking? Have you smoked since?*

Yes
No

Are you currently drinking?*

Yes
No

Have you lost any weight since?*

Yes
No

For how long did you quit after using Allen Carr’s Easyway method?*

Do you have a good understanding or what foods should ideally occupy the bulk of your intake?*

Please give full details of your current issue or difficulty*

Did you use any nicotine products (patches, gum, e-cigarettes etc) during this attempt to quit smoking?*

Yes
No

Which did you use?*

Nicotine patches
Nicotine gum
e-cigarettes

What were the circumstances surrounding your first cigarette following the quit attempt? Did it come out of the blue or did you battle it for some time?*

What were the circumstances surrounding your first drink following the quit attempt? Did it come out of the blue or did you battle it for some time?*

Were you okay for a period of time? Did the over-eating or junk eating come out of the blue or did you battle it for some time?*

What were the circumstances surrounding your first time following the quit attempt? Did it come out of the blue or did you battle it for some time?*

Was it/is it easy or hard? How did you feel about it at the time?*

Has it been easy or hard? How did you feel about your eating generally?*

Please include anything else that you feel might be relevant.

Please let us know if you would like future support and to hear about news, interesting articles, offers and services

Yes please keep in touch, I’d like future support and to hear about news, interesting articles, offers and services
No thanks, I don’t want future support and to hear about offers and services

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