The Fagerstrom Test for
Nicotine Dependence

How do you know if you’re already addicted to tobacco? Everyone’s situation is different. Please complete this test as truthfully as possible.

1. How soon after you wake up do you smoke your first cigarette?
Within 5 minutes  3
6 to 30 minutes 2
31 to 60 minutes 1
After 1 hour  0
2. Do you find it difficult to refrain from smoking in places where it is forbidden?
Yes 1
No 0
3. Which cigarette would you most hate to give up?
The first one in the morning 1
Any other 0
4. How many cigarettes per day do you smoke?
31 or more 3
21 to 30 2
11 to 20 1
10 or fewer 0
5. Do you smoke more frequently during the first hours after waking than during the rest of the day?
Yes 1
No 0
6. Do you smoke even if you are so ill that you are in bed most of the day?
Yes 1
No 0
Score of 6 or greater:

Highly nicotine dependent

A score of 6 or greater on this scale has been used as a criteria to recommend nicotine medication therapy or another FDA-approved anti-smoking medication or both. Taking these medications for tobacco cessation works best in coordination with a group or individual behavioral treatment program.

Score of 5 (or less):

Less nicotine-dependent

A score of 5 or less on this scale does not mean stopping smoking will be easy for you. This score has been used as a criteria to recommend a group or individual behavioral treatment program for smoking cessation. If not successful, consult your health care professional about nicotine medications or another FDA-approved antismoking medication or both.

Remember that no self-test can absolutely and accurately determine the nature of your problem or the solution. Please use it as a marker to help guide you along your own path.

Source: Fagerstrom KO, Heatherton TF, Kozlowski LT. Nicotine addiction and its assessement. Ear Nose Throat J 1991; 69:763-765