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  Nicotine Dependency Risk Assessment  
1) How soon after you wake do you smoke your first cigarette?

2) Do you smoke more frequently during the first hours after waking than during the rest of the day?

3) How many cigarettes per day do you smoke?

4) Do you find it difficult to refrain from smoking in places where it is forbidden (e.g., in church, at the library, at the movies)?

5) Which cigarette would you most hate to give up?

6) Did you experience any withdrawal symptoms (Difficult to concentrate, Irritability, agitation) when cut down the number of cigarettes in the past when you were busy with other activities ?

7) Do you accept the proposal from your family doctor to quit smoking based on your medical back ground?

8) Do you smoke even when you are so ill that you are in bed most of the day?

9) Do you aware of health consequences and still reluctant to quit smoking

10) Have you ever neglected the job you have to do because you have to smoke?


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Disclaimer: Please note that the assessment results are indicative but not conclusive. It is only for information purpose and should not be considered equivatent to the evaluation and treatment provided by a healthcare professional. A licensed physician should be consulted for proper diagnosis and treatment.
 
 
   
 

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