It is a measure of the severity of a smoker’s nicotine dependence. A person’s score on the test can help to determine which therapy may be the most appropriate treatment for that person. The Fagerstrom Test For Nicotine Dependence (FTND) consists of six questions, each evaluated on a point-based scale with scores ranging from 0 to 3 except for question 5 (“How soon after you wake up do you smoke your first cigarette?”), which has values between 0 and 4.

Take a look other related calculators, such as:


Nicotine is a naturally occurring alkaloid found in the nightshade family of plants (Solanaceae). The most common source of nicotine is tobacco, from which it derives its name. Tobacco can be smoked, chewed, or drunk in a solution form.

When smoked, nicotine reaches the brain within 10 seconds and creates feelings of pleasure and relaxation. It also increases heart rate, blood pressure, and body temperature. Nicotine acts on receptors for acetylcholine which are located in several parts of the brain; this causes increased activity at these receptor sites which produces pleasant feelings.

Nicotine dependence

Nicotine dependence is the compulsive need to use nicotine. This is a chronic disease that causes physical and mental dependence on tobacco products. It affects brain function, which leads to drug-taking behaviors that can be harmful when you stop using them.

This form of chemical dependence is the most common form of addiction in the United States. Nicotine dependence can cause many health issues, such as cancer, heart disease, stroke, and lung disease (including emphysema or chronic bronchitis). If you want to quit smoking cigarettes but aren’t sure how you can do it safely or effectively on your own—or if you want help quitting other tobacco products such as cigars or pipes—talk with your doctor today!

What is the Fagerstrom Test for Nicotine Dependence (FTND)?

The Fagerstrom Test for Nicotine Dependence is a questionnaire used to assess nicotine dependence. It is used as a screening tool in clinical practice and can help determine if a person has an addiction to smoking cigarettes. It also determines if they are ready to quit smoking or need more help.


The Fagerstrom Test for Nicotine Dependence (FTND) is the most widely used test that assesses a person’s dependence on nicotine. The FTND measures your physical dependence on cigarettes, as well as your emotional and mental addiction to them. By using a scale ranging from 0 to 10, this test allows you to self-assess how addicted you are to smoking and how likely it is that you will quit successfully.

The Fagerstrom Test for Nicotine Dependence was created by Swedish researchers who sought a better way of measuring nicotine dependence than previous methods, which had been judged unreliable by medical professionals around the world. The Fagerstrom Test was first published in 1992 – over 25 years ago! That means there has been plenty of time for people from all over the world with different backgrounds and cultures to get in on this important conversation about addiction treatment options available today: here’s what we’ve learned so far about what works best when trying out new ways at stopping smoking.

NRT Therapy Recommendations

If you scored between 0 and 3, you are not addicted to nicotine and can simply stop using tobacco or NRT. If your score was 4-6, you are addicted but can quit without any medical assistance by relying on a combination of willpower, support from family and friends, behavioral therapy techniques like keeping track of triggers and cravings, etc.

If your score was 7-10 (very addictive), we recommend that you consider going through one of these programs:

The CTN Center for Tobacco Treatment has trained professionals who will help guide you through the process of quitting smoking with NRT therapy.

Fagerstrom Test for Nicotine Dependence – scoring

The Fagerstrom Test for Nicotine Dependence (FTND) is a 10-question test that measures your physical dependence on nicotine. When you take the test, each question has a corresponding score from 0 to 4. A total score of two or less indicates low risk; three to four, moderate risk; five or more, high risk.

A person who scores 2-3 on this scale of 0 to 10 has low FTND risk and is considered unlikely to develop serious health problems if he/she stops smoking now. A person who scores 4-6 has moderate FTND risks and may want to consider cutting back on the number of cigarettes smoked per day before quitting completely if possible. Someone scoring 7-10 probably has significant health risks associated with their smoking habit but can still benefit from trying different ways of quitting like gum and lozenges supplements therapy medication counseling group support groups etc.

How to use the Fagerstrom Test For Nicotine Dependency Calculator

Our FTND calculator contains six questions, related to a person’s smoking habits:

  • How soon after you wake up do you smoke your first cigarette?
  • Do you find it difficult to retain from smoking in places where it is forbidden (e.g., in church, at the library, in the cinema)?
  • Which cigarette would you hate most to give up?
  • How many cigarettes per day do you smoke?
  • Do you smoke more frequently during the first hours after waking than during the rest of the day?
  • Do you smoke when you are so ill that you are in bed most of the day?

Once you answer these questions, the calculator will give you the final score.

If you want to calculate how many packs of cigarettes you have smoked in your life, check out our Smoking Pack Year Calculator. Additionally, if you need to check if a person is an alcoholic, make use of our Audit-C Calculator, and if you want to check your insulin sensitivity, make sure to visit this QUICKI Calculator.


How is the Fagerstrom score calculated?

It is calculated based on 6 different questions that the person taking the test needs to answer.

Where are you supposed to put a nicotine patch?

People usually put them in their upper chest, upper arm, shoulder, back, or inner arm.

How long does nicotine withdrawal last?

For most people, all symptoms disappear after 2-4 weeks, with the first week being the most difficult.

Why is breathing worse after quitting smoking?

There are two reasons. The first one is nicotine withdrawal making your body more sensitive. The second one is, that after quitting smoking, your lungs start to clear up.