Name Date Section
Nicotine Dependence: Are You Hooked?  

Answer each question in the list below, giving yourself the appropriate points. Completing the smoking journal below may help you answer these questions more accurately.


  1. How soon after you wake up do you have your first cigarette?
                a. within 5 minutes
                a. 6-30 minutes
                b. 31-60 minutes
                c. After 60 minutes
  1. Do you find it difficult to refrain from smoking in places where it is forbidden, such as the library, theater, or a doctor's office?
                a. yes
                b. no
  1. Which cigarette would you most hate to give up?
                a. the first one in the morning
                b. any other
  1. How many cigarettes a day do you smoke?
                a. 10 or less
                b. 11-20
                c. 21-30
                d. 31 or more
  1. Do you smoke more frequently during the first hours after waking than during the rest of the day?
                a. yes
                b. no
  1. Do you smoke if you are so ill that you are in bed most of the day?
                a. yes
                b. no
Your Total:  
A total score of 7 or greater indicates that you are very dependent on nicotine and are likely to experience withdrawal symptoms when you stop smoking. A score of 6 or less indicates low to moderate dependence.


INTERNET ACTIVITY

Many Web sites offer help for smokers who want to quit. Visit one of the following or do a search to find another appropriate site. Write a brief description and evaluation of the quitting information offered. What information or advice is provided? Do you find it personally useful for quitting?

American Cancer Society: http://www.cancer.org/
American Lung Association: http://www.lungusa.org/
SmokeFree.Gov: http://www.smokefree.gov
Try to stop: http://www.trytostop.org/

Site(s) visited (URL):

Description:



Smoking Journal

Date  Day: M     TU     W     TH     F     SA     SU
Time of day N R Where were you? What else were you doing? Did someone else influence you? Emotions and feelings? Thoughts and concerns?

N = Number of cigarettes           R = Rating (0-3) of how much you wanted cigarette

QUIZ SOURCE: Heatherton, T. F., et al. 1991. The Fagerstrom Test for Nicotine Dependence. A revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addictions 86(9): 1119-1127.

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