Leave The Pack Behind!!

The Fagerstrom Nicotine Addiction Scale

1

How soon after

you wake up do you smoke your first

cigarette?

After

30 minutes

Within 30

minutes

 

2

Do you find it difficult to

refrain from smoking in places

where it is not allowed?

No

Yes

 

3

Which of all

the cigarettes you smoke in a day is the most

satisfying one?

Any

other than the first one in the morning

The first one in the morning

 

4

How many cigarettes a day do you

smoke?

1-15

16-25

More than 25

 

5

Do you smoke

more frequently during the first hours after

waking up than during the rest of the day?

No

Yes

 

6

Do you smoke if you are so ill

that you are in bed most of

the day?

No

Yes

 

7

What is the

nicotine level of your usual brand of

cigarettes?

Low

0.4 mg

Medium 0.5 to 0.9

mg

High 1.0 mg or

more

 

8

How often do you inhale the smoke

from your cigarette?

Never

Sometimes

Always

 

Funding
for this program has been provided in part by the Government
of Ontario and by Health Canada.
Ce program est financé par
le Gouvernement de l’Ontario et par Santé Canada.

The ‘Leave
The Pack Behind’ name
for this program has been adopted with permission from the
World Health Organization.
Le nom du programme en anglais ‘Leave The Pack Behind’ a été emprunté à la
Journée mondiale sans tabac de 1999 avec la permission
de l’Organisation mondiale de la santé. Copyright,
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Leave The Pack Behind!!
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