Table 2.

Fagerström test for nicotine dependence.

	Scoring
	0	1	2	3
1. How soon after you wake up do you smoke your first cigarette?	More than 1 hour	1/2 to 1 hour	6 to 30 minutes	5 minutes or less
2. Do you find it difficult to refrain from smoking in places where it is forbidden (e.g., in church, at the library, in a movie theater)?		No	Yes
3. Which cigarette would you most hate to give up?		Any other	First one in the morning
4. How many cigarettes do you smoke per day?	Less than 10	11 to 20	21 to 30	More than 31
5. Do you smoke more frequently during the first hours after waking than during the rest of the day?		No	Yes
6. Do you smoke when you are so ill that you are in bed most of the day?		No	Yes

Scoring: 0–4 low; 5 medium; 6–7 high; 8–10 very high level of nicotine dependence. A total of 7 or greater may indicate more severe withdrawal symptoms, greater difficulty quitting, and possibly the need for higher dose nicotine supplements.

Adapted from Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström test for nicotine dependence: a revision of the Fagerström tolerance questionnaire. Br J Addict 1991;86:1119–1127.