Fagerstrom & Self-Assessment

The Fagerström Test for Nicotine Dependence: What Your Score Means

March 25, 2026
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Quick Summary

  1. 1The Fagerström Test for Nicotine Dependence (FTND) is the gold-standard clinical measure of physical nicotine dependence.
  2. 2The test is 6 questions with scores from 0 to 10. A score of 5 or higher indicates significant physical dependence.
  3. 3The single most predictive question is how soon after waking you reach for a cigarette.
  4. 4Your score directly affects which NRT type and dose is recommended for you.
  5. 5The FTND has been used in clinical and research settings worldwide since 1991, validated across multiple populations and languages.
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