QuitSA - Addiction Questionnaire

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	Quit SA Quitting I want to quit Addiction Questionnaire

Addiction Questionnaire

How addicted to nicotine are you?
(Fagerstrom test for nicotine dependance)

1. How soon after waking up do you smoke your first cigarette?
2. Do you find it difficult to not smoke when not able to get a break ie: work, movies, travel?
3. Which cigarette would you find hardest to give up?
4. How many cigarettes a day do you smoke?
5. Do you smoke more frequently in the morning than the rest of the day?
6. Do you smoke even though you are sick in bed for most of the day?

The Fagerstrom test gives you a score between 1 and 10. The higher the score, the more likely you are to benefit from using NRT to assist with withdrawal symptoms and to quit. Those with a score over 5 should consider using an NRT product. Those with a score of 3-4 may still benefit from discussing treatment options with their health professional.

NRT is usually not recommended for those smoking less than 10 cigarettes a day and not smoking within the first hour of waking. Use of NRT is not recommended for those with heart and vascular disease or during pregnancy. Reference: Frecher RC & Fagerstrom KO (1991) The Fagerstrom Test for nicotine dependence: a revision of the Fagerstrom Tolerance Questionnaire, British Journal of Addiction, 86 pp 1119-1127

		Last updated : 6/06/2006 2:56:48 PM

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