Fagerstrom Test for Nicotine Dependence

Answer the following questions about your smoking habits. Be honest with yourself for the most accurate assessment.

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

0 - After 60 minutes

1 - 31-60 minutes

2 - 6-30 minutes

3 - Within 5 minutes

2. Do you find it difficult to refrain from smoking in places where it is forbidden?

0 - No

1 - Yes

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

0 - Any other

1 - The first one in the morning

4. How many cigarettes per day do you smoke?

0 - 10 or less

1 - 11-20

2 - 21-30

3 - 31 or more

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

0 - No

1 - Yes

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

0 - No

1 - Yes

Gender Select gender Male Female Other

Age Group Select age group 18-25 years 26-35 years 36-50 years 51-65 years 65+ years

Years of Smoking

How many years have you been smoking?

Calculate Fagerstrom Score Reset

About Fagerstrom Test

The Fagerstrom Test for Nicotine Dependence (FTND) is a validated tool used to assess nicotine addiction severity and predict quitting difficulty.

Clinical Guidelines:

• • Score ≥6: Consider pharmacotherapy
• • Score ≥7: Strongly recommend medication
• • Score ≥8: Intensive treatment needed
• • Sensitivity: 70-80% for nicotine dependence
• • Specificity: 80-90% depending on population

Dependence Indicators:

• • Morning smoking within 30 minutes
• • Difficulty refraining in forbidden places
• • Preference for morning cigarette
• • High daily consumption (20+ cigarettes)
• • Smoking more in morning hours
• • Smoking when ill

Quitting Difficulty by Score:

• 0-2: Easy to quit, minimal withdrawal
• 3-4: Moderate difficulty, some withdrawal
• 5-6: Difficult, significant withdrawal
• 7-8: Very difficult, severe withdrawal
• 9-10: Extremely difficult, intense withdrawal

Treatment Recommendations:

• Low Dependence (0-4):
• • Behavioral counseling
• • Self-help materials
• • Support groups
• High Dependence (5-10):
• • Pharmacotherapy (NRT, varenicline, bupropion)
• • Intensive behavioral therapy
• • Medical supervision

Success Factors:

• • Strong motivation to quit
• • Social support
• • Stress management skills
• • Previous quit attempts
• • Treatment adherence
• • Avoiding triggers

Professional Resources:

• • Primary care physician
• • Smoking cessation specialist
• • Behavioral therapist
• • Quitline services
• • Support groups
• • Online programs