1. Give yourself ___

3 points for a
2 points for b
1 point for c
0 points for d

2. Give yourself ___

1 point for a
0 points for b

3. Give yourself ___

1 point for a
0 points for b

4. Give yourself ___

3 points for a
2 points for b
1 point for c
0 points for d

5. Give yourself ___

1 point for a
0 points for b

6. Give yourself ___

1 point for a
0 points for b

Now add up your total points. ___

Results
Heavy Nicotine Dependence: 5-6 points
Moderate Nicotine Dependence: 3-4 points
Light Nicotine Dependence: 0-2 points