ACS-YA ST🚭P - Take a Tobacco-Free Pledge
 
Effective tobacco prevention, cessation, and control require daily commitments and efforts from everyone in our community! We are inviting you to take a tobacco-free pledge.

What’s the more addictive substance - nicotine or cocaine?
Nicotine
Cocaine
They are equally addictive
Are e-cigarettes and other vaping products harmful to your health?
Yes
No
Smokers are more likely to develop severe disease with COVID-19, compared to non-smokers. True or false?
True
False
How many chemicals are there in tobacco smoke?
200+
7000+
4000+
How many of these chemicals are known to be cancer causing?
35
69
15
What causes the most deaths in the United States every year?
Alcohol-related deaths
Traffic accidents
Tobacco-related deaths
Tobacco use can increase the risk of: (Choose one or more)
Lung damage
Cancer
Cardiovascular disease and stroke
Digestive issues
Premature aging of the skin
Lower bone density
Depression and anxiety
Whole body disease
Vaping can increase the risk of: (Choose one or more)
Addiction
Cancer
Cardiovascular disease and stroke
EVALI and popcorn lungs
Mouth and gum issues
Mood swings
Second-hand (passive) smoke can increase the risk of: (Choose one or more)
Asthma and bronchitis
Cancer
Heart disease
Middle ear infections
Women who smoke during pregnancy increase the risk of: : (Choose one or more)
Still Birth
Cot Death
Birth defects
I pledge to protect myself, my family, my friends, and my community against tobacco-related illnesses by doing the followings (check all that apply):
- To make my home, my car, and surrounding environment smoke-free
- To stop any tobacco use
- To stay away from secondhand smoke
- To be a positive role model for my friends, family, and my community, and will encourage them to NEVER START and/or quit using tobacco products
-To keep tobacco, alternative nicotine and vapor products out of the hands of San Gabriel Valley youth
- Get screened! To learn more about how timely lung cancer screening can help smokers to save life!
Name:
Email:
Share a Picture of Your Pledge with Us! 
 
Photographic and Video Release: I grant the campaign organizers the right to have photographs or videos of me during the campaign and to use these materials for promotional or informational purposes without compensation.
Would you like to be contacted for future community events, training opportunities, and research projects?
Yes
No
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