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Nicotine Dependence Test (Fagerström)

Answer six standard Fagerström questions to estimate your nicotine dependence level — with clear, non-diagnostic guidance for next steps.

Question 1 of 6
How soon after you wake up do you smoke your first cigarette?
Question 2 of 6
Do you find it difficult to refrain from smoking in places where it is forbidden?
Question 3 of 6
Which cigarette would you hate most to give up?
Question 4 of 6
How many cigarettes do you smoke per day?
Question 5 of 6
Do you smoke more during the first hours after waking than during the rest of the day?
Question 6 of 6
Do you smoke when you are so ill that you are in bed most of the day?

0/6 questions answered

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What is the Fagerström Test?

The Fagerström Test for Nicotine Dependence (FTND) is one of the most widely used clinical tools for estimating nicotine dependence. Developed by Karl-Olov Fagerström, it uses six questions to produce a score from 0 to 10.

Healthcare providers use this score to guide quit-smoking support — including whether nicotine replacement therapy (NRT) or other medications may help.

Scoring guide

| Score | Dependence level | | --- | --- | | 0–2 | Low | | 3–4 | Low to moderate | | 5–7 | Moderate | | 8–10 | High |

Higher scores generally indicate stronger physical nicotine dependence and a greater benefit from structured quit support.

The six questions cover

  • Time to first cigarette after waking
  • Difficulty refraining in forbidden places
  • Which cigarette is hardest to give up
  • Daily cigarette count
  • Morning vs. rest-of-day smoking pattern
  • Smoking while ill in bed

Each answer maps to a weighted score defined by the original Fagerström protocol.

Important disclaimer

This online tool provides an educational estimate based on your self-reported answers. It does not replace professional medical evaluation, diagnosis, or treatment.

If you are planning to quit, consider discussing your score with a healthcare provider — especially if you fall in the moderate or high range.