|
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.
|
|