Smoking - How Addicted Are You?

The Fagerström test is a questionnaire that can be used to see whether you are addicted to the nicotine in cigarettes.

Score each of the following questions (the scores are given in brackets).

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

A. Within 5 minutes (3)
B. 6-30 minutes (2)
C. 31-60 minutes (1)
D. After 60 minutes (0)

2. Do you find it difficult to refrain from smoking in places where it is forbidden - eg, in church, the library, the cinema, etc?

A. Yes (1)
B. No (0)

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

A. The first one in the morning (1)
B. All others (0)

4. How many cigarettes do you smoke per day?

A. 10 or fewer (0)
B. 11-20 (1)
C. 21-30 (2)
D. 31 or more (3)

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

A. Yes (1)
B. No (0)

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

A. Yes (1)
B. No (0)

Now add up your score

7 to 10 points = highly dependent on nicotine.
4 to 6 points = moderately dependent on nicotine.
Fewer than 4 points = less dependent.

The higher your score, the more likely you are to have withdrawal symptoms if you give up smoking; also, the withdrawal symptoms are likely to be stronger.

  • Doctors and patients can use Decision Aids together to help choose the best course of action to take.
  • Compare the options  
Now read about Smoking Cessation

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Original Author:
Dr Tim Kenny
Current Version:
Dr Colin Tidy
Peer Reviewer:
Dr John Cox
Document ID:
4762 (v40)
Last Checked:
24 April 2015
Next Review:
23 April 2018
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Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.

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