Fagerstrom Test Nicotine Dependence

Test Description

The Fagerström Test for Nicotine Dependence (FTND) is a standard instrument for assessing the intensity of physical addiction to nicotine. The test was designed to provide an ordinal measure of nicotine dependence related to cigarette smoking. It contains six items that evaluate the quantity of cigarette consumption, the compulsion to use, and dependence.

font: NIDA (National Institute on Drug Abuse)


Brain smoking2 - nicotine dependence    Brain smoking - nicotine dependence


Scoring for Fagerstrom Test

In scoring the Fagerstrom Test for Nicotine Dependence, yes/no items are scored from 0 to 1 and multiple-choice items are scored from 0 to 3. The items are summed to yield a total score of 0-10. The higher the total Fagerström score, the more intense is the patient’s physical dependence on nicotine.


Fagerstrom Test for Nicotine Dependence


1.Do you currently smoke cigarettes? [If “yes,” read each question below. For each question, enter the answer choice which best describes your response.]
2.How soon after you wake up do you smoke your first cigarette?
3.Do you find it difficult to refrain from smoking in places where it is forbidden (e.g.,in church, at the library, in the cinema)?
4.Which cigarette would you hate most to give up?
5.How many cigarettes per day do you smoke?
6.Do you smoke more frequently during the first hours after waking than during the rest of the day?
7.Do you smoke when you are so ill that you are in bed most of the day?