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Fagerstrom Test for Nicotine Dependence

Health

Score the standard 6-question Fagerstrom Test for Nicotine Dependence (FTND) instantly. A quick self-check tool, not a diagnosis, based on the validated FTND scale.

FTND Total Score

0

This calculator computes your FTND Total Score from the values you enter.

Inputs
How soon after waking do you smoke your first cigarette?Do you find it difficult to refrain from smoking where it's forbidden?Which cigarette would you hate most to give up?How many cigarettes do you smoke per day?Do you smoke more frequently in the first hours after waking?Do you smoke even when ill in bed most of the day?
Outputs
FTND Total Score

What is a Fagerstrom Score?

The Fagerstrom Test for Nicotine Dependence Calculator scores the validated 6-question FTND, widely used to assess the intensity of physical nicotine dependence. It's a screening tool, not a diagnostic instrument.

For related smoking-related tools, see the Cigarette Calculator and Pack Year Calculator.

How to use this Fagerstrom Score calculator

  1. Answer how soon after waking you smoke your first cigarette.
  2. Answer whether it's difficult to refrain from smoking where forbidden.
  3. Answer which cigarette you'd hate most to give up.
  4. Answer how many cigarettes per day you smoke.
  5. Answer whether you smoke more frequently in the morning.
  6. Answer whether you smoke even when ill in bed.
  7. Read your FTND Total Score instantly.

Formula & Methodology

Time to first cigarette and cigarettes per day are each scored 0-3; the remaining four questions are scored 0-1.

Total Score = Sum of all 6 item scores (range: 0-10)

Worked example — smoking within 5 minutes of waking (3), difficulty refraining (1), hating to give up the first cigarette (1), 15 cigarettes per day (1), no to the remaining two:

Total Score = 3 + 1 + 1 + 1 + 0 + 0 = 6

Frequently Asked Questions

The Fagerstrom Test for Nicotine Dependence (FTND) is a validated 6-question tool used to assess the intensity of physical dependence on nicotine, widely referenced in smoking cessation research and clinical practice.
No — the FTND is a screening and assessment tool only, not a diagnostic instrument. It's designed to give a general sense of nicotine dependence level, not a formal diagnosis.
The six questions use different scoring scales — some are 0-3, others are 0-1 — and all six scores are summed for a total ranging from 0 to 10.
Higher totals generally reflect a stronger physical dependence on nicotine; this calculator does not provide a clinical interpretation — this information may be useful context for a conversation with a healthcare provider about cessation support.
Smoking soon after waking is widely considered one of the strongest indicators of physical nicotine dependence, which is why this question carries a higher maximum score (3 points) compared to some of the other yes/no questions.
No — this calculator runs entirely in your browser and does not transmit, store, or share your answers anywhere.
The [Cigarette Calculator](/cigarette-calculator/) estimates financial cost of smoking, while the FTND assesses physical nicotine dependence level — the two provide different lenses on a smoking habit.
Understanding your dependence level can help inform conversations with a healthcare provider about appropriate cessation support options, such as nicotine replacement therapy, though the FTND itself doesn't provide a treatment plan.
The Fagerstrom Test was developed as a validated tool to quantify nicotine dependence and has become one of the most widely used and referenced instruments in smoking cessation research and clinical practice.
Speaking with a healthcare provider about cessation support options — which may include counseling, nicotine replacement therapy, or medication — is generally recommended, and support resources like national quitlines are also widely available.
Also known as
FTND calculatornicotine dependence testFagerstrom score calculatorsmoking dependence questionnaire