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The Fagerstrom Test for Nicotine Dependence (FTND) is a standard, published 6-item questionnaire measuring physical nicotine dependence, with published point values summing to a 0-10 score. This calculator is for general reference and educational purposes only — it is not a medical diagnosis. Consult a doctor or qualified professional for actual nicotine dependence assessment.
How it works
Answer all 6 standard FTND questions using the dropdown options. The tool sums the published point values and classifies the total against commonly cited dependence bands.
- Enter how soon after waking do you smoke your first cigarette?.
- Enter do you find it difficult to refrain from smoking in places where it is forbidden?.
- Enter which cigarette would you hate most to give up?.
- Enter how many cigarettes per day do you smoke?.
- Enter do you smoke more frequently in the first hours after waking than during the rest of the day?.
- Enter do you smoke even if you are so ill that you are in bed most of the day?.
- Click Calculate to see your results.
Examples
Smoking within 5 minutes of waking, 25 per day, and 2 other "yes" items
Points might total, for example, 3 (time to first cigarette) + 2 (cigarettes per day) + 1 + 1 (two other yes items) = 7 — high dependence.
Who should use it
- Assessing nicotine dependence severity before starting a quit attempt.
- Smoking cessation research and clinical practice.
Industry applications
- Smoking cessation programs
- Addiction medicine research
Advantages
- A widely used, validated instrument in smoking cessation research and practice.
- Provides a standardized way to discuss dependence severity with a doctor.
Limitations
- Measures physical dependence only, not psychological or social smoking triggers.
- Self-reported answers may not perfectly reflect actual smoking behavior.
Common mistakes to avoid
- Underestimating cigarettes per day by not counting all cigarettes smoked in a typical day.
- Treating the score as a fixed label rather than one input to a quit-planning conversation with a doctor.
Best practices
- Answer based on your typical, current smoking pattern for the most meaningful score.
Tips
- Discuss your FTND score with a doctor when planning a quit attempt — higher scores may suggest more intensive support could help.