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Nicotine Addiction Quiz

The Fagerström Test for Nicotine Dependence (FTND) — 6 validated questions. Your dependence level shapes your best quit strategy.

Question 1 of 6

About the Fagerström Test

Clinical Gold Standard

The FTND was developed by Karl-Olov Fagerström in 1978 and revised in 1991. It is used by clinicians worldwide to determine nicotine dependence severity before prescribing cessation pharmacotherapy. A higher score predicts more severe withdrawal symptoms and a greater response to pharmacological support (NRT, varenicline, or bupropion).

The test has been validated across dozens of cultures and languages and remains the most predictive six-item instrument for physical nicotine dependence available.

Dependence vs. Habit

Physical nicotine dependence — measured by the FTND — is distinct from the psychological habit of smoking. People with low FTND scores may still smoke heavily due to psychological triggers (stress, routine, social cues). High-score smokers experience significant physical withdrawal that makes quitting harder without pharmaceutical support. Both dimensions require different intervention strategies.

Frequently Asked Questions

What is the Fagerström Test for Nicotine Dependence?
The FTND is a 6-question standardised questionnaire developed by Karl Fagerström in 1978 and revised in 1991. It is the most widely used and validated clinical instrument for assessing the intensity of physical nicotine addiction. Scores range from 0 to 10.
Is my data saved or shared?
No. This quiz runs entirely in your browser. Your answers are never sent to any server. When you close the page, everything disappears.
What do the dependence levels mean?
FTND scores 0–2 indicate low dependence; 3–4 moderate; 5–7 high; 8–10 very high. Higher scores predict more severe withdrawal symptoms and benefit most from pharmacotherapy (nicotine replacement, varenicline, or bupropion) in addition to behavioural support.
Does a high score mean I can't quit?
Absolutely not. High dependence scores mean you may benefit more from pharmacological support (like nicotine patches, gum, or prescription medication) and structured quit plans. People with high FTND scores who use NRT or medication are significantly more likely to succeed.
Why does time to first cigarette matter so much?
Lighting up within 30 minutes of waking is the single strongest predictor of nicotine dependence severity. Overnight nicotine levels drop and the brain signals urgently for replenishment. Smokers who wait over an hour typically have lower physiological dependence.

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