EUROPEAN SMOKEFREE QUITTER OF THE YEAR 2009 


EUROPEAN SMOKEFREE QUITTER OF THE YEAR 2009 

QUIT® are looking for people who have an inspirational story that will inspire others to stop smoking. If you quit on or after January 1, 2008, or are hoping to quit for good soon, you could be in with a chance of winning.

Prizes

 

Deadline Dates

To be eligible you must have quit on or after January 1, 2008 and been smoke-free for six months by the closing date of December 31, 2009. Remember to send your form in as soon as possible. Ring QUIT on 0800 00 22 00 or email stopsmoking@quit.org.uk as often as you need to for support.

Please enclose a recent photograph.

Section 1

Contact details

PLEASE SUPPLY YOUR CONTACT DETAILS:



Title:

First Name(s): Surname:

Address:


Post Code:

Daytime tel no: Evening tel no:

Mobile: Email:

Date of Birth: Date you stopped smoking:

 

How did you hear about the European Smokefree Quitter of the Year 2009?

*please give details


National Newspaper* Television coverage* Local press*

Health Professional* Local radio* Other*


Section 2 

Only the most inspirational stories will be selected to go through to the next stage.

To progress your application we need to know as much about you as we can. 

Please answer all questions in as much detail as you can. 


1. How long were you a smoker and how many cigarettes did you smoke a day?



2. Why did you smoke?



3. When did you stop smoking? Did you try to quit more than once?



4. In no more than 200 words, explain why you stopped smoking.



5. What methods did you use to help stop smoking ?
(i.e. Counselling/ Nicotine Replacement Therapy/Will Power/Zyban/Champix/Telephone Helpline)



6. If NRT was used which type (i.e. Patches, Inhalators, Gum, Lozenges, Micro-tabs, Nasal Spray)



7. In no more than 200 words, explain how your life has changed since stopping smoking


8. In no more than 200 words, tell us why you think your story will inspire others to stop smoking.





To my knowledge all information supplied here is correct and I agree to comply with the rules of the competition laid out below

Name: Date:

RULES OF ENTRY

Nominees must have stopped smoking on or after January 1, 2008 and must have been smoke free for six months before entering. The deadline for entries is December 31, 2009. Entries must include a recent photograph. Nominees must be aged 18 or over and a UK resident. Entrants from the 2008 Awards (excluding individual country winners) may enter if they meet the above criteria. No liability will be accepted for lost, damaged or delayed entries. Proof of posting cannot be accepted as proof of delivery. No cash prize available. Final choice of the awards is at the Selection Panel’s discretion. The Selection Panel’s decision is final. No correspondence will be entered into. Entrants must be prepared to co-operate in any media coverage. Entrants must agree to the use of their name and photograph in any materials produced by QUIT and/or the European Network of Quitlines and/or Pfizer in relation to the awards. All nominees must consent to QUIT contacting their doctor and agree to take part in a saliva test to confirm they are an ex-smoker. The contest is not open to employees and families of QUIT,  Pfizer or anyone connected with the organisation of the competition. ENTRY IMPLIES ACCEPTANCE OF THESE RULES.


Details of winners will be available in February 2010 – thank you for your interest in the European Smokefree Quitter of the Year 2009.  

Submit Information

Please email a photograph of yourself to n.orchard@quit.org.uk, or post it to Nicola Orchard, QUIT, 4th Floor, 63 St. Marys Axe, London EC3A 8AA

The European Smoke Free Awards 2009 are supported by