Freedom From Smoking® Motivational Texting Enrollment Form

Thank you for your interest in enrolling in the American Lung Association’s Freedom From Smoking® (FFS) motivational texting program! Whether you are a participant of the group program, in person or virtually delivered, FFS Plus, are working through the self-help guide or with a counselor through the Tobacco QuitLine, you have the opportunity to enroll and receive automated motivational messages. No matter where you’re at in the process, whether you’ve already quit, or are thinking about quitting, we’re happy to support you along the way!

By completing the form below you are acknowledging that you are currently working through the FFS program curriculum to quit using all forms of tobacco products. For questions or support during your quit journey, reach out to us by calling 1-800-LUNGUSA (1-800-586-4872 and press 2) or submit your question online.

Required fields are marked with an asterisk (*).

First Name is required.
Last Name is required.
Email is required. Email must be in the correct format.
Mobile phone is required. Mobile Phone must be in the correct format.
Birthdate is required.
Quit Date is required.
State is required.
Zipcode is required. Zipcode must be in the correct format.
Language Preference is required.
Race/Ethnicity is required.
Please check this box to continue.

By signing up via text, you agree to receive recurring automated motivational messages from the American Lung Association at the phone number provided. Reply STOP to unsubscribe. Reply FFSHELP for help. Message frequency varies. Msg & data rates may apply. View our Privacy Policy and Terms of Service.