Tobacco

Tobacco - Self Assessments


Self-Assessment on Smoking Cessation

Take this self-assessment, adopted from the University of Rochester, to determine your nicotine dependence.

Circle your response and write in your score and total it at the bottom

A =0 Points

B=1 Point

C=2 Points

Score

How soon after you wake do you smoke your first cigarette?

After 30 Minutes

Within 30 Minutes

N/A

 

Do you find it difficult to refrain from smoking in places where it is prohibited, such as in a public building, theater, or office?

No

Yes

N/A

 

Which of all the cigarettes you smoke in a day is the most satisfying?

Any other than the first one

The first one in the morning

N/A

 

How many cigarettes a day do you smoke?

1-15

16-25

More than 25

 

Do you smoke during the morning more than you smoke the rest of the day?

No

Yes

N/A

 

Do you smoke when you are feeling sick?

No

Yes

N/A

 

Does the brand you smoke have a low, medium, or high nicotine content?

Low

.4 mg

Medium .5 - .9 mg

High

1.0 mg +

 

How often do you inhale the smoke from your cigarette?

Never

Sometimes

Always

 

A score of 4 or more points suggests that you are dependant on nicotine. Want to quit? Visit our resources page for links to help get you started

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