|
| Item | Questions | Answers | Points |
|
| 1* | How soon after you wake up do you smoke your first cigarette? | Within 5 minutes | 3 |
| 6–30 minutes | 2 |
| 31–60 minutes | 1 |
| After 60 minutes | 0 |
| 2 | Do you find it difficult to refrain from smoking in places where it is forbidden for example church, at the library, in the cinema, and so on? | Yes | 1 |
| No | 0 |
| 3 | Which cigarette would you hate to give up? | The first one in the morning | 1 |
| All others | 0 |
| 4* | How many cigarettes do you smoke a day? | 10 or less | 0 |
| 11–20 | 1 |
| 21–30 | 2 |
| 31 or more | 3 |
| 5 | Do you smoke more during the first two hours than during the rest of the day? | Yes | 1 |
| No | 0 |
| 6 | Do you smoke if you are so ill that you are in bed most of the day? | Yes | 1 |
| No | 0 |
|