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. 2015 Jan 29;9:209–215. doi: 10.2147/PPA.S67707

Table S1.

Fagerstrom test for nicotine dependence

Points
1. How soon after you wake up do you smoke 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, at the library, in 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/day do you smoke?
 a) 31 or more 3
 b) 21–30 2
 c) 11–20 1
 d) 10 or less 0
5. Do you smoke more frequently during the first hours after waking up than during the rest of the day?
 a) Yes 1
 b) No 0
6. Do you smoke if you are so ill that you are in bed most of the day?
 a) Yes 1
 b) No 0
Total score _____
Low dependence (0 to 3 points)
Moderate dependence (4 to 6 points)
High dependence (7 to 10 points)

Note: Copyright © 1989. Springer. Reproduced from Journal of Behavioral Medicine, 12, 1989, 159–182, Measuring nicotine dependence: a review of the Fagerstrom Tolerance Questionnaire, Fagerstrom KO, Schneider NG, Table 3, with kind permission from Springer Science and Business Media.1