[PDF] NIDA Clinical Trials Network Fagerstrom Test for Nicotine

Modified Version of the Fagerstrom Tolerance Questionnaire (mFTQ)

Modified Version of the Fagerstrom Tolerance Questionnaire (mFTQ) (Scoring guidelines in parentheses; remove these from instrument prior to use) 1 How many cigarettes a day do you smoke? a Over 26 cigarettes a day (2) b About 16-25 cigarettes a day (1) c About 1-15 cigarettes a day (0) d Less than 1 a day (0) 2 Do you inhale? a Always

Fagerstrom Test for Nicotine Dependence

Fagerstrom Test for Nicotine Dependence Instructions: Answer the following questions Nicotine dependence is based on the total score 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

Fagerstrom Tolerance Scale - English

The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire British Journal of Addictions, 86, 1119–1127

Fagerström test for nicotine dependence

The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire Br J Addict 1991;86:1119–1127 Updated June 2003 Scores: 1-2 = very low dependence; 3-4 = low dependence; 5 = moderate dependence; 6-7 = high dependence; 8+ = very high dependence

The Fagerstrom Test for Nicotine Dependence

The Fagerstrom Test for Nicotine Dependence Questions Answers Points 1 How soon after you wake up to you smoke your first cigarette? Within 5 minutes 6-30 minutes 31-60 minutes After 60 minutes 3 2 1 0 2 Do you find it difficult to refrain from smoking in places where it is forbidden

NIDA Clinical Trials Network Fagerstrom Test for Nicotine

Mar 24, 2014 · Fagerstrom Test for Nicotine Dependence (FND) Heatherton TF, Kozlowski LT Frecker RC (1991) The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire British Journal of Addiction 86:1119-27 Instructions

Fagerstrom Nicotine Scale - Michigan

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

Fagerstrom Nicotine Dependence Scale- Smokeless Tobacco (FTND-ST)

Fagerstrom Nicotine Dependence Scale- Todd F et al 1991 The Fagerström Test for Nicotine Dependence: A revision of the Fagerström Tolerance Questionnaire

Dependence on Smoking - NCSCT

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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NIDA Clinical Trials Network

Fagerstrom Test for Nicotine Dependence (FND)

Visit Number: _ _

Date of Assessment: (mm/dd/yyyy) _ _/_ _/_ _ _ _

Do you currently smoke cigarettes

? No Yes

If "yes," read each question below.

For each question, enter the answer choice which best describes your response.

1. How soon after you wake up do you smoke your first cigarette? Within 5 minutes

6 to 30 minutes

31 to 60 minutes

After 60 minutes

2. 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)? No Yes

3. Which cigarette would you hate most to give up? The first one in the morning Any other

4. How many cigarettes per day do you smoke?

10 or less

11 to 20 21 to 30

31 or more

5. Do you smoke more frequently during the first hours after waking than during the rest

of the day? No Yes 6. Do you smoke when you are so ill that you are in bed most of the day?

No Yes

Comments:

NIDA Clinical Trials Network

Fagerstrom Test for Nicotine Dependence (FND)

Instructions

Clinic personnel will follow standard scoring to calculate score based on responses. Your score was: (your level of dependence on nicotine is): _ _quotesdbs_dbs12.pdfusesText_18