What's your EX Quit Date?
This information in this form is collected in conjunction with http://excommunity.becomeanex.org solely for the purpose celebrating quit milestones of BecomeAnEX members more frequently than yearly. All fields will be required if you choose to participate.
Celebration of your QUIT Date
We're asking for your quit date so that we (The EX Team and the EX community) can help you celebrate milestones. Reaching these dates offers reminders of, and support for, the progress you have made toward becoming a healthier you. In order to assist Mark, the Community Manager in this effort we're asking you to complete this simple form. If your quit date changes, please, come back and update the form. You should also update your quit date on the EX Plan Site (https://www.becomeanex.org/set-your-quit-date.php) as well. Once you edit it, please logout(https://excommunity.becomeanex.org/logout.jspa) and back in to update your quit date on the EX community.
What is your EX community username? *
You can find your community username at https://excommunity.becomeanex.org/edit-profile!input.jspa. Look for the value next to Username:.
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Your answer
Please provide a link to your community profile. *
Your profile link should look similar to: https://excommunity.becomeanex.org/people/username
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Your answer
When did you quit? *
Please don't sign up until you have successfully quit.
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YYYY
Checking your quit date on the EX community
The date in the oval is your current quit date. If the date isn't accurate. Go to the Quit Plan to Update and then log out of the  community. Upon logging back in the date will be updated.
Have milestones recognized? *
Thanks!
Mark
EX Community Manager
Submit
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