| Assigned numerical value | |||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| 1. Do you ever try to limit the number of cigarettes you smoke? | No | Yes | |||
| 3. Do you have a limit or target that you set for yourself of how many cigarettes to smoke in a week? | No | Yes | |||
| 4. Do you plan out or ration your cigarettes for each day or week? | Never | Almost never | Sometimes | Often | Always |
| 5. How often do you deliberately refrain from lighting up a cigarette to keep your smoking rate down? | Never | Less than once per day | 1–2 times per day | 3–10 times per day | More than 10 times per day |