What is the FIRST step in the '5 A's' framework for smoking cessation counseling?

The 5 A's for smoking cessation: Ask (screen every patient for tobacco use) → Advise (urge all users to quit) → Assess (determine willingness to quit) → Assist (help develop a quit plan, including setting a quit date) → Arrange (follow-up contacts). The FIRST step is Ask. Note: the source says 'set a quit date' — this is part of the Assist step, not the overall FIRST step. The first step is ASK.