Appendix 4: Fagerstrom Test for Nicotine Dependence

AuthorJames G. Wigmore
appendix 4
Fagerstrom Test for Nicotine Dependence
How soon after waking do you smoke your f‌irst
Within  minutes ()
Within – minutes ()
– minutes ()
Do you f‌ind it dicult to refrain from smoking in
places where it is forbidden (e.g., church, library, movie
theaters, etc.)?
Yes ()
No ()
Which cigarette would you hate to give up? The f‌irst in the morning ()
Any other ()
How many cigarettes a day do you smoke?  or less ()
– ()
– ()
 or more ()
Do you smoke frequently in the morning? Yes ()
No ()
Do you smoke even if you are sick in bed most of
Yes ()
No ()
– = low dependence
– = low to moderate dependence
– = moderate dependence
 + = high dependence

To continue reading

Request your trial

VLEX uses login cookies to provide you with a better browsing experience. If you click on 'Accept' or continue browsing this site we consider that you accept our cookie policy. ACCEPT