Quit Smoking Quiz - Fagerström Survey for Nicotine Addiction



INSTRUCTIONS: Use this quit smoking quiz to assess your level of physical addiction to nicotine. For each question, choose the answer that best fits you.

  1. How soon after you wake up do you smoke your first cigarette?
    a. Within 5 minutes (3 points)
    b. Within 6-30 minutes (2 points)
    c. Within 31-60 minutes (1 point)
    d. After 60 minutes (0 points)

  2. Do you find it difficult to refrain from smoking in places where it is forbidden (e.g., in church, at the library, in cinema, etc)?
    a. Yes (1 point)
    b. No (0 points)

  3. Which cigarette would you hate most to give up?
    a. The first one in the morning (1 point)
    b. Any other (0 points)

  4. How many cigarettes per day do you smoke?
    a. 10 or less (0 points)
    b. 11-20 (1 point)
    c. 21-30 (2 points)
    d. 31 or more (3 points)

  5. Do you smoke more during the first hours after waking than during the rest of the day?
    a. Yes (1 point)
    b. No (0 points)

  6. Do you smoke even when you are ill enough to be in bed most of the day?
    a. Yes (1 point)
    b. No (0 points)
Scoring
Now, add up your points = ______________
A score of 5 or more indicates a significant nicotine dependence, while a score of 4 or less shows a moderate to low dependence.

Talk with your health care provider about the results of this quit smoking quiz to discuss which medications may be appropriate for your level of nicotine addiction.


Reference:
Heatherton, Todd F. et al., 1991. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction 86:1119-1127.



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