Quit Smoking In-Clinic Eligibility Check Quit Smoking In-Clinic Eligibility Check Check your eligibility and start today Enter your details below then check if you’re eligible.If you are eligible you will be taken to the signup page.Successful applicants can begin the program immediately. First Name*Last Name*Email* Phone*Postcode*How many do you smoke per day?*Select123456789101112131415161718192021222324252627282930What methods have you used in the past to quit? Hypnosis Champix Zyban Nicotine patches Nicotine inhaler Nicotine nasal spray Nicotine lozenges Nicotine gum Nicotine microtab Vaping Cold turkey Other None of the above Do you suffer from any of the following conditions?* Epilepsy Fitting Schizophrenia Psychosis Depression Anxiety Insomnia Heart Conditions None of the above How would you describe your weight?Select OneIdeal WeightUnderweightOverweightWhat is the main reason you have decided to quit smoking now?Future Sessions*YesNoWould you be interested in receiving information about other hypnotic sessions as they become available?