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Nicotine Addiction Health Risk Assessment

Questions

  1. How soon after you wake up do you smoke your 1st cigarette?

    2. Greater than 1 hour
    30 minutes to 1 hour
    6 minutes to 30 minutes
    Less than 5 minutes

  2. Do you find it difficult to refrain from smoking where it is forbidden?

    3. No
    Yes

  3. Which cigarette would you hate to give up the most?

    4. Any cigarette other than the 1st one in the morning
    First cigarette in the morning upon waking

  4. How many cigarettes do you smoke per day?

    5. Less than 10
    11 to 20
    21 to 30
    Greater than 30

  5. Do you smoke more frequently during the 1st hours after waking than during the rest of the day?

    6. No
    Yes

  6. Do you smoke even if you are so ill that you cannot get out of bed?

    7. No
    Yes


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