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Appendix III: The Fagerstrom Test for Nicotine Dependence

Updated February 2008

The Fagerstrom Test for Nicotine Dependence

Table 1: The Fagerstrom Test for Nicotine Dependence
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
3
2
1
0
2. Do you find it difficult to refrain from smoking in places where it is forbidden such as church, the library, or movie theatres?
Yes
No
1
0
3. Which cigarette would you hate most to give up?
The first one in the morning
All others
1
0
4. How many cigarettes do you smoke? (20 cigarettes are in a pack)
10 or less
11-20
21-30
31 or more
0
1
2
3
5. Do you smoke more frequently during the first hours after waking than the rest of the day?
Yes
No
1
0
6. Do you smoke if you are so ill that you are in bed most of the day?
Yes
No
1
0
Score:
0-2 Very Low Addiction
3-4 Low Addiction
5 Medium Addiction
6-7 High Addiction
8-10 Very High Addiction
Reprinted with permission from Heatherton TF, Kozlowski LT, Frecker RC, et al. The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire. Br J Addict 1991;86:1119-1127.