Harvey Group Practice

- a general practice for you -

Health Information

Smoking - How Addicted Are You?

Smoking - How Addicted Are You?

The Fagerström test is a questionnaire that can be used to see whether you are addicted to the nicotine in cigarettes.

Score each of the following questions (the scores are given in brackets).

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

A. Within 5 minutes (3)
B. 6-30 minutes (2)
C. 31-60 minutes (1)
D. After 60 minutes (0)

2. Do you find it difficult to refrain from smoking in places where it is forbidden - eg, in church, the library, the cinema, etc?

A. Yes (1)
B. No (0)

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

A. The first one in the morning (1)
B. All others (0)

4. How many cigarettes do you smoke per day?

A. 10 or fewer (0)
B. 11-20 (1)
C. 21-30 (2)
D. 31 or more (3)

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

A. Yes (1)
B. No (0)

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

A. Yes (1)
B. No (0)

Now add up your score

7 to 10 points = highly dependent on nicotine.
4 to 6 points = moderately dependent on nicotine.
Fewer than 4 points = less dependent.

The higher your score, the more likely you are to have withdrawal symptoms if you give up smoking; also, the withdrawal symptoms are likely to be stronger.

Further help & information

ASH - Action on Smoking and Health

6th floor, Suites 59-63, New House, 67-68 Hatton Garden, London, EC1N 8JY

Tel: 0207 404 0242

Further reading & references

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but makes no warranty as to its accuracy. Consult a doctor or other healthcare professional for diagnosis and treatment of medical conditions. For details see our conditions.

Original Author:
Dr Tim Kenny
Current Version:
Dr Colin Tidy
Peer Reviewer:
Dr John Cox
Document ID:
4762 (v40)
Last Checked:
24/04/2015
Next Review:
23/04/2018