
Fagerström test
Peer reviewed by Dr John Cox, MRCGPLast updated by Dr Colin Tidy, MRCGPLast updated 9 Nov 2017
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
The Fagerström test is a questionnaire that can be used to see whether you are addicted to the nicotine in cigarettes.
In this article:
Continue reading below
Nicotine Dependence Test
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.
Patient picks for Smoking and vaping

Healthy living
How to stop smoking
The start of a new year is often a time when people make resolutions and strive to adopt healthier habits. One goal you might have is to give up smoking. But, once you commit to quitting, how can you ensure you stick with it throughout the year?
by Emily Jane Bashforth

Healthy living
What does smoking do to your heart?
Most people, whether or not they smoke, are aware of the damage that smoking can cause to people's lungs. But far fewer people are aware that smoking is also harmful to the heart. Although smoke is inhaled into the lungs, the chemicals absorbed into your bloodstream can also affect the health of your heart and circulatory system.
by Gillian Harvey
Continue reading below
Article history
The information on this page is peer reviewed by qualified clinicians.
9 Nov 2017 | Latest version

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.