Fagerström Test for Nicotine Dependence (FTND) — Addiction and Habits Quiz
Multiple-choice tool evaluating level of physical dependence on nicotine.
The Fagerström Test for Nicotine Dependence (FTND) is a clinically recognized multiple-choice tool used to evaluate the level of physical dependence on nicotine. This concise, evidence-based questionnaire helps smokers and healthcare professionals quickly assess nicotine dependence, informing decisions about cessation strategies, nicotine replacement therapy (NRT), and behavioral support. By completing this FTND quiz, you'll receive a numeric dependence score and clear interpretation to guide next steps.
This quiz is ideal for anyone exploring smoking cessation within the Addiction and Habits category, including cigarette and tobacco users who want to understand their dependence level. The FTND evaluates common dependence indicators such as time to first cigarette, daily consumption, and difficulty refraining from smoking. Results are actionable and designed to help you plan an effective quit strategy or discuss tailored treatment with a clinician.
How soon after you wake up do you smoke your first cigarette?
Time to first cigarette is a strong indicator of nicotine dependence.
Do you find it difficult to refrain from smoking in places where it is forbidden (e.g., in public buildings, on public transport)?
Difficulty refraining suggests habit strength and situational dependence.
Which cigarette would you hate most to give up?
Identifies whether the morning cigarette is especially important to you.
How many cigarettes do you smoke per day?
Daily cigarette consumption contributes to the overall dependence score.
Do you smoke more frequently during the first hours after waking than during the rest of the day?
Higher morning smoking frequency indicates stronger withdrawal overnight and dependence.
Do you smoke even if you are so ill that you are in bed most of the day?
Continued smoking when ill signals entrenched physical dependence.
Frequently asked questions
The FTND is a brief, validated questionnaire used to assess the intensity of physical nicotine dependence. It consists of six multiple-choice questions that produce a score from 0 to 10, which helps guide clinical decisions about cessation support and medications.
Scores 0–2 indicate very low dependence, 3–4 low, 5 moderate, 6–7 high, and 8–10 very high dependence. Higher scores suggest stronger physical dependence and a greater likelihood of withdrawal symptoms, often requiring more intensive support.
The FTND estimates physical dependence, which correlates with withdrawal severity and the potential need for pharmacotherapy. However, quitting success also depends on behavioral, psychological, social, and environmental factors.
FTND scores of 5 or higher generally indicate that NRT or prescription medications should be considered. Discuss options like patches, gum, lozenges, or prescription medications (varenicline, bupropion) with a healthcare provider for personalized recommendations.
Retake the FTND after any significant change in smoking behavior (for example, after reducing cigarettes per day, starting NRT, or after a quit attempt). Periodic retesting can help track progress and adjust cessation strategies.
The FTND was developed for cigarette smokers and is most accurate for combustible tobacco use. For vaping or other nicotine products, the FTND can still give insight into dependence, but clinicians may use adapted assessments for non-combustible nicotine delivery.
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