I think that the answer is c
Answer:
The Blue Ridge region contains the highest point in the state.
Rocky soil limits large agriculture in the Appalachian Plateau region.
Explanation:
He is in the precontemplation stage of the transtheoretical model,where he shows no intention of changing their behavior, and does not see an behavior as a problem when asked.
This matched his case that he does not believe he will get a lung cancer from smoking cigarettes(does not see the behavior as an problem) and does not want to quit smoking(no intention of changing the behavior).
Hope it helps!