1. How soon after you wake up do you smoke your first cigarette?
After 60 Minutes (0)
31-60 Minutes (1)
6-30 Minutes (2)
Within 5 Minutes (3)

2. Do you find it difficult to refrain from smoking in places where it is forbidden?
Yes (0)
No (1)

3. Which cigarette would you hate most to give up?
The first in the morning (1)
Any other (0)

4. How many cigarettes per day do you smoke?
10 or less (0)
11-20 (1)
21-30 (2)
31 or more (3)

5. Do you smoke more frequently during the first hours after awakening than during the rest of the day?
No (0)
Yes (1)

6. Do you smoke even if you are so ill that you are in bed most of the day?
No (0)
Yes (1)


* Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for
Nictoine Dependence: A revision of the Fagerstrom Tolerance Questionnaire. British
Journal of Addictions 1991;86:1119-27