Table 1.

Implementation intentions question examples

Question		Responses
To remind myself to call and set up my colonoscopy appointment, I will……		Put a reminder note or a card in my wallet or purse Put a reminder note or a card on my refrigerator Write a note and the phone number in my calendar Put a reminder note and the phone number on my “to do list”
Some people need to take time off work or get childcare when they set up a colonoscopy appointment. It usually takes a full day to get the test, and recover from the pain medicine you receive during the test. I will request time off from work or childcare…․		Today Tomorrow The week the test is scheduled The day before the test is scheduled
The day before my colonoscopy, to remind myself to start taking the laxative medicines, I will……		Write a note in my calendar Put a reminder note or a card on my refrigerator Put a reminder note or a card in my wallet or purse Put a reminder note on my “to do list” Leave the bottle of Magnesium Citrate on my kitchen counter Leave the bottle of Magnesium Citrate in my bathroom Leave the bottle of Magnesium Citrate on my bedside table
I will get a ride to my colonoscopy from…․		My Spouse or partner A friend A neighbor A relative A medical transport company Other
To remind myself to mail in my card with the stool samples, I will….		Keep the kit in my bathroom until the day I mail it Keep the kit in my purse, briefcase, or bag Keep the kit in my kitchen Put a reminder note or a card in my wallet or purse Put a reminder note or a card on my refrigerator Put a reminder note on my “to do list”
I will mail the card with the two stool samples within…․		One day after collecting it Two days after collecting it A week after collecting it Fourteen days after collecting it