Fagerström Test for Nicotine Dependence Calculator

Fagerström Test for Nicotine Dependence (FTND) — 6-item dependence score (0–10).

For educational and clinical reference. Not a substitute for medical judgment. See the medical disclaimer.

How soon after waking do you smoke your first cigarette?

Is it difficult to refrain from smoking where it is forbidden?

Which cigarette would you most hate to give up?

How many cigarettes per day do you smoke?

Do you smoke more frequently in the first hours after waking?

Do you smoke even when so ill you are in bed most of the day?

Score

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Interpretation

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References

Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence. Br J Addict. 1991;86(9):1119-1127.

The Fagerström Test for Nicotine Dependence (FTND) is a 6-item questionnaire (0–10) measuring physical dependence on nicotine.

0–2 very low, 3–4 low, 5 medium, 6–7 high, 8–10 very high dependence. Higher scores predict more difficulty quitting and support pharmacotherapy.

Time to first cigarette and cigarettes per day are the strongest predictors of dependence and cessation difficulty.

Higher dependence supports combination nicotine replacement or varenicline and more intensive behavioural support.

Last updated June 28, 2026