fagerstrom test questions
How soon after you wake do you smoke your first cigarette. Patients who quit smoking and relapse within two or three weeks usually do so to relieve withdrawal symptoms secondary to their physical dependence on.
Fagerstrom Test For Nicotine Dependence Calculator
Modified Version of the Fagerstrom Tolerance Questionnaire mFTQ Scoring guidelines in parentheses.
. Remove these from instrument prior to use. Particular cigarette of the day that is considered most important. After 60 min 0.
The Fagerstrom test for nicotine addiction refers to the following situations. 6 - 30 min 2. Another widely used questionnaire to assess tobacco dependence level is the Fagerstrom Test for Nicotine Dependence Heatherton Kozlowski Frecker Fagerstrom 1991.
Within 5 minutes 3 Within 6 - 30 minutes 2 Within 31 - 60 minutes 1 After 60 minutes 0 2. Cigarette s 11 to 20 per day. The Fagerström Tolerance Questionnaire was developed by Karl-Olov Fagerström.
Do you find it difficult to refrain from smoking in places where it is forbidden eg in church at the library at the movies etc. Do you find it difficult to. Which chew would you hate to give up most.
How soon after you wake up do you smoke your first cigarette. Consider 21 mg Nicotine Patch. Did you crave tobacco after you quit or.
This modified version of the FTQ Fagerstrom 1978 assesses the level of nicotine dependence among adolescents. R 071 2-month interval. National Center for Biotechnology Information.
Time in minutes before first cigarette of the day. This instrument was modified to the Fagerström Test for Nicotine Dependence by Todd Heatherton et al. Dependence level Nicotine Replacement Therapy Dosage Combination Therapy High Patches.
6 12 cartridges per day Lozenge. About 16-25 cigarettes a day 1 c. One item assesses time to the first-morning cigarette and the other asks for the individuals daily smoking rate.
Consider 14 mg Nicotine. Less than 1 a day 0 2. The instrument uses a 5-point Likert scale for all seven items except for one item on smoking during the first two hours of the day.
How soon after you wake up do you smoke your first cigarette. Circle one response Within 5 minutes 6-30 minutes 31-60 minutes More than 60 minutes 3 2 1 0 2. Fagerström Test for Nicotine Dependence 1.
Cigarette s 21 to 30 per day. Have you ever tried to quit or cut down on tobacco and found you could not. 21mg24hr or 15mg16hr Inhaler.
Write the number of the answer that is most applicable in the box to the right of the question. How many cigarettes a day do you smoke. How often do you intentionally swallow tobacco juice.
The FTND retains six of the original eight questions on the FTQ with revised scoring for two of the items. Difficulty in refraining from smoking in places where it is forbidden. 31 60 min 1.
Which cigarette would you hate most to give up. How soon after you wake up do you smoke your first cigarette. Number of cigarettes smoked per day.
How soon after you wake up do you have your first cigarette. Do you find it difficult to refrain from smoking in places where it is forbidden eg in church the library the cinema etc. The FTND is copyrighted by Taylor and Francis Ltd but may be reproduced without permission as available from the source reference Heatherton et al 1991.
Fagerstrom Test for Nicotine Dependence Score 8 high dependence Score 5-7 moderate dependence Score 3-4 low to moderate dependence Score 0-2 low dependence QUESTION RESPONSE SCORE 1. After 60 minutes 31-60 minutes 6-30 minutes Within 5 minutes 0 1 2 3 2. Over 26 cigarettes a day 2 b.
Fagerstrom Test for Nicotine Dependence Smokeless Tobacco FTND-ST Questions Answers Points. How soon after you wake up do you place your Within 5 min 3 first dip. Please answer the following questions either yes or no.
About 1-15 cigarettes a day 0 d. This questionnaire has six items with a possible score range of 110. Dependence on Smoking based on Fagerstrom Test of NicotineCigarette Dependence FTNDFTCD This set of questions will enable us to see how dependent you are on your cigarettes.
No 0 Yes 1 4. The FTND consists of 6 items that are each rated on a different scale depending on the nature of the question. Have you often had periods of days when you smoked a lot more than you than you intended to.
Add up your responses to all the items. How many tins or pouches of smokeless tobacco do you typically use Score each week. The Fagerstrom Test for Nicotine Dependence FTND is a six-item revision of the Fagerstrom Tolerance Questionnaire.
Test-retest reliability Prokhorov et al 1998.
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