Fagerström Test for Nicotine Dependence: John's Results

Fagerström Test for Nicotine Dependence (Heatherton et al. 1991)

Name:__John_____________ Date: __May 13, 2006__________

1. How soon after you wake up do you have your first cigarette?

(A.) Within 5 minutes (3)

B. 6-30 minutes (2)

C. 31-60 minutes (1)

D. After 60 minutes (0)

2. Do you find it difficult to refrain from smoking in places where it is forbidden, e.g., in church, the library, and cinema, etc?

A. Yes (1)

(B.) No (0)

3. Which cigarette would you hate most to give up?

(A.) The first one in the morning (1)

B. All others (0)

4. How many cigarettes/day do you smoke?

A. 10 or fewer (0)

B. 11-20 (1)

C. 21-30 (2)

(D.) 31 or more (3)

5. Do you smoke more frequently during the first hours after waking than during the rest of the day?

(A.) Yes (1)

B. No (0)

6. Do you smoke even if you are so ill that you are in bed most of the day?

(A.) Yes (1)

B. No (0)

Total Points: 9

Scoring:

7 to 10 points = highly dependent; 4 to 6 points = moderately dependent; less than 4 points = less dependent.

Higher scores indicate that withdrawal symptoms from quitting tobacco are more likely and likely to be stronger.