Form: Fagerstrom Test for Nicotine Dependence, FTND

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

2. Do you find it difficult to refrain from smoking in places where it is forbidden (for example: in the movie theater, in the library, in church)?

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

4. How many cigarettes per day do you smoke?

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

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