Fagerstrom Test for Nicotine Dependence (FTND) Calculator

Your details

The first cigarette of the day is the strongest indicator of physical dependence. The sooner you need it, the higher the score.
For example, churches, libraries, cinemas, or non-smoking workplaces.
If the morning cigarette feels most essential, it signals a strong overnight withdrawal response.
This is the most heavily weighted item, along with question 1. Higher daily consumption reflects greater pharmacological dependence.
Morning clustering of cigarettes indicates overnight nicotine withdrawal driving early smoking.
Smoking despite illness in bed is a strong sign of compulsive use overriding normal inhibitions.
FTND ScoreVery low dependence
0/ 10

Total Fagerstrom Test for Nicotine Dependence score (0 = none, 10 = very high)

Q1 points0
Q2 points0
Q3 points0
Q4 points0
Q5 points0
Q6 points0
Heaviness of Smoking Index (HSI)0/ 6
0 pts
Very low<2Low2-4Moderate4-6High6-8Very high8+

Your FTND score is 0/10: very low dependence.

  • Your score suggests minimal physical dependence on nicotine. Behavioral habit and social cues are likely bigger drivers of your smoking than pharmacological addiction.
  • Brief counselling and self-help materials are often sufficient at this level. Nicotine replacement therapy (NRT) is generally not required, though it can ease the transition.

Next stepSet a quit date, remove cigarettes and lighters from your home, and identify your smoking triggers to plan alternatives.

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