Nicotine Dependence Test

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The Fagerström Test for Nicotine Dependence (FTND) is a six-question instrument designed to estimate the intensity of physical nicotine dependence related to cigarette smoking. Scores range from 0 to 10; a higher score indicates more intense dependence on this scale. The result is informational and is not a diagnosis or treatment recommendation.

Sources: NIDA/NIH — Fagerström Test for Nicotine Dependence; IARC — Tobacco Smoking Cessation handbook.

1. How soon after you wake up do you smoke your first cigarette? *Within the first 5 minutesBetween 6 and 30 minutesBetween 31 and 60 minutesAfter 60 minutes

2. Do you find it difficult not to smoke in places where it is forbidden (e.g., in church, at the cinema, at work)? *YesNo

3. Which cigarette would be the hardest to give up? *The first one in the morningAny other

4. How many cigarettes do you smoke per day? *31 or moreBetween 21 and 30Between 11 and 2010 or less

5. Do you smoke more during the first few hours after waking than the rest of the day? *YesNo

6. Do you smoke even when you are so sick that you have to stay in bed most of the day? *YesNo

Total Points

Very Low Dependence (0–2 points):

Your answers place you in the very low dependence range. Smoking may still be connected to particular routines, situations, or moments in your day. Noticing when those cigarettes happen can help you decide where to begin making changes.

Low Dependence (3–4 points):

Your answers place you in the low dependence range. Some parts of your daily routine may be more connected to smoking than others. Look at the questions that added the most points to identify the moments that may deserve the most attention.

Medium Dependence (5 points):

Your answers place you in the medium dependence range. Smoking has likely developed a regular place in your day, with certain cigarettes or situations being more difficult to delay or skip. Identifying those moments can give you a clearer starting point.

High Dependence (6–7 points):

Your answers place you in the high dependence range. Several parts of your smoking routine contributed to the result. A structured approach can help you decide what to change first and follow those changes consistently.

Very High Dependence (8–10 points):

Your answers place you in the very high dependence range. Smoking appears to be closely built into your daily routine, particularly in the situations reflected by your highest-scoring answers. Identifying and tracking those moments can help you begin with specific, manageable changes.

How Alive Can Help You Cut Down Gradually

Alive can help you gradually reduce how many cigarettes you smoke.

Record each cigarette and follow a plan that progressively increases the waiting time between them. The app shows when your next cigarette is planned, guides you through each phase, and lets you repeat a phase if you need more time. This gives you a clear action to follow each day and a simple way to see how your consumption changes over time.