Smoking Cessation

Fagerstrom Test of Nicotine Dependence

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

  Within 5 minutes 6-30 minutes 31-60 minutes After 60 minutes

  Please answer the question first

• 2. Do you find it difficult to refrain from smoking in places where it is forbidden?

  Yes No

  Please answer the question first

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

  The first in the morning Any other

  Please answer the question first

• 4. How many cigarettes per day do you smoke?

  Yes No

  Please answer the question first

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

  Yes No

  Please answer the question first

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

  31 or more 21-30 11-20 10 or less

  Please answer the question first