• FAGERSTROM TEST FOR NICOTINE DEPENDENCE

  • Do you smoke cigarettes?*
  • How soon after waking do you smoke your first cigarette?*
  • Do you find it difficult to refrain from smoking in places where its forbidden? e.g. Church, Library, etc.*
  • Which cigarette would you hate to give up?*
  • How many cigarettes a day to you smoke?*
  • Do you smoke more frequently in the morning?*
  • Do you smoke even if you are sick in bed most of the day?*
  • Score:
    1-2 =  low dependence
    3-4 =  low to mod dependence
    5-7 =  moderate dependence
    8+ = high dependence

  • Should be Empty: