Fagerstrom Test for Nicotine Dependence Welcome to your Fagerstrom Test for Nicotine Dependence Name Email Phone Instruction: Please select one for each of the questions. How soon after waking do you smoke your first cigarette? Within 5 minutes 5-30 minutes 31-60 minutes None Do you find it difficult to refrain from smoking in places where it is forbidden? e.g Church, Library, etc. Yes No None Which cigarette would you hate to give up? The first in the morning Any other None How many cigarettes a day do you smoke? 10 or less 11-20 21-30 31 or more None Do you smoke more frequently in the morning? Yes No None Do you smoke even if you are sick in bed most of the day? Yes No None Time's up Leave a Reply Cancel replyCommentEnter your name or username to comment Enter your email address to comment Enter your website URL (optional) Save my name, email, and website in this browser for the next time I comment.
