freedom from smoke - freedomfromsmoke.org.uk - individual

If you have already decided to quit, or just thinking about it, complete this short questionnaire to help work out your level of addiction.

Q1. Which of the following best describes you?

A contented smoker

A smoker who would like to stop

A social smoker i.e. very infrequently

A non-smoker

Q2. How many cigarettes do you smoke each day?

More than 20?

Between 11 and 20?

Between 1 and 10?

None

Q3. After you wake, when do you smoke your first cigarette?

Within five minutes?

Within half an hour?

Within an hour?

I don't

Q4. Do you find it difficult not to smoke in places like cinemas, buses or restaurants?

Yes, I do

Sometimes I do

Not at all

Q5. If you are ill in bed, would you still smoke?

Yes, just as normal

Yes, but not as much as normal


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