| Questions |
Answers |
Points |
| 1. How soon after you wake up do you smoke your first cigarette? |
| Within 5 minutes |
| 6 to 30 minutes |
| 31-60 minutes |
| After 60 minutes |
|
|
| 2. Do you find it difficult to refrain from smoking in places where it is forbidden such as church, the library, or movie theatres? |
|
|
| 3. Which cigarette would you hate most to give up? |
| The first one in the morning |
| All others |
|
|
| 4. How many cigarettes do you smoke? (20 cigarettes are in a pack) |
| 10 or less |
| 11-20 |
| 21-30 |
| 31 or more |
|
|
| 5. Do you smoke more frequently during the first hours after waking than the rest of the day? |
|
|
| 6. Do you smoke if you are so ill that you are in bed most of the day? |
|
|
Score:
0-2 Very Low Addiction
3-4 Low Addiction
5 Medium Addiction
6-7 High Addiction
8-10 Very High Addiction |
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