Congratulations on a wise decision!

Ready to get started?


Step # 1

Complete the Smoking Cessation Intake Form

Please complete this form and have it in front of you during the Live Telephone Assessment Appointment.  You do not need to submit it to HypnoSET. Your completed form will  be discussed in depth during the assessment. 
Right click and choose "save link as".  Once saved, print it and complete the questionnaire. 
Smoke Intake Form 2018.pdf Smoke Intake Form 2018.pdf
Size : 130.015 Kb
Type : pdf

   Step # 2

Review our hours of operation.

You'll need this information for scheduling your live assessment with us.

Monday to Thursday: 9 am to 12 pm, 2 pm to 5 pm. 7 pm to 9 pm.

Fridays: 9 am to 12 pm. Saturdays: 9 am - 12 pm, 2 pm to 5 pm. 

(subject to change)


Step # 3

Complete and submit the form below.

  Before you complete Step # 3, please review: "How to prepare for your live telephone assessment." Click here to read/print.

Scheduling Your Live Telephone Assessment

Please provide a minimum of 3 choices where you can commit to being available for your 30-minute Live Telephone Assessment. (EXAMPLE: Monday 10 Dec 3 pm, Wednesday 12 Dec 9:30 am, Friday 14 Dec 7 pm). Within 24 hours of receiving your selection, HypnoSET will send you an email confirming the chosen date and time of your Live Telephone Assessment Appointment.

Please choose dates and times wisely and in your order of preference. Be aware that missed appointments are subject to additional charges.

Mike Proulx of HypnoSET will call you at which number for your 30 minute Live Telephone Assessment?

Some assessments last as little as 15 minutes, others last as long as 45 minutes. The average is 30 minutes. You will not be charged or refunded for any differences to the 30 minute average.