The primary objective of this pilot study is to focus on physical therapists practicing in a rural setting; where 65% of the Montana population resides. Physical therapists are a key provider of healthcare service and entry into the healthcare system. In this proposed study we want to 1) assess the current state of smoking cessation being offered by physical therapists, 2) determine the viability of physical therapists to provide smoking cessation counseling based on their knowledge, skills and perceptions, 3) try to understand the patients’ perspective regarding a physical therapist providing these services and 4) identify the barriers to physical therapist providing this critical and quality of life saving if not life saving service