Inclusion Criteria:  Age ≥ 18 years Smoke ≥ 3 cigarettes per week and expressing interest in quitting smoking.  Exclusion Criteria:  Unstable psychiatric conditions such as suicidal ideation, acute psychosis, severe alcohol dependence, or dementia unstable medical conditions that have not been well controlled (e.g., acute infection requiring hospitalization) for the past 30 days pregnant or breastfeeding women those with limited decision making capacity.