Fagerstrom Test

Questions and Possible Answers

Score

1) How soon after you wake up do you smoke your first cigarette?

 

</= 5 min

3

6-30 min

2

31-60 min

1

>/= 61 min

0

2) Do you find it difficult to refrain from smoking in places where it is forbidden (eg, in church, at the library, in a cinema)?

 

Yes

1

No

0

3) What cigarette would you hate most to give up?

 

The first in the morning

1

Any other

0

4) How many cigarettes per day do you smoke?

 

</= 10 (</= 0.5 pack)

0

11-20 (0.5 -1 pack)

1

21-30 (1 - 1.5 packs)

2

>/= 31 (>/= 1.5 packs)

3

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

 

Yes

1

No

0

6) Do you smoke when you are so ill that you are in bed most of the day?

 

Yes

1

No

0

TOTAL SCORE:

_____ (Max. Score = 10)*

 

*Scores of 6 or greater generally are interpreted as indicating a high degree of dependence, with more severe withdrawal symptoms, greater difficulty in quitting, and possibly the need for higher doses of medication.

 

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