[PDF] Fagerstrom Tolerance Scale - English



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Fagerstrom Tolerance Scale - English

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Citation: Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom K The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire British Journal of Addiction 1991;86:1119-1127



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4), resulting in a score from 0 to 10 for the full questionnaire and a score from 0 to 6 for the HSI, with higher scores representing heavier smoking References for this are Fagerstrom, K (2012) "Determinants of tobacco use and renaming the FTND to the Fagerstrom Test for Cigarette Dependence " Nicotine Tob Res 14(1): 75-78

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Fagerstrom Tolerance Scale

SCORING INSTRUCTIONS:

Add up your responses to all the items. TOTAL SCORE

NameDate

Write the number of the answer that is most applicable in the box to the right of the question.

1. How soon after you wake do you smoke your first cigarette?

2. Do you find it difficult to refrain from smoking in places where it i

s forbidden, such as the library, theatre or doctors' office?

3. Which cigarette would you hate most to give up?

4. How many cigarettes per day do you smoke?

5. Do you smoke more frequently during the first hours after awakening t

han during the rest of the day?

6. Do you smoke even if you are so ill that you are in bed most of the d

ay?After 60 minutes = 031-60 minutes = 16-30 minutes = 2within 5 minutes = 3 Yes =

1No = 0

All others =

0The first one in the morning = 1

10 or less =

011-20 = 121-30 = 231 or more = 3Yes = 1

No = 0 No =

0Yes = 1

Dependence Scores:

0-2 Very low 3-4 Low 5 Medium 6-7 High 8-10

Very HighReference

Heatherton, T.F., Kozlowski, L.T., Frecker, R.C., Fagerstrom, K.O. (199

1). The Fagerstrom Test for Nicotine Dependence: A revision of the Fage

rstrom Tolerance Questionnaire.

British Journal of Addictions, 86,

1119-1127.

Heart and Stroke Foundation. The Fagerstrom Test for Nicotine Dependence . Available at http://ww2.heartandstroke.ca/DownloadDocs/PDF/Fagerstrom_

Test.pdf.

Accessed August 21, 2007

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