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ગુજરાતી
Nicotine Addiction Test
1
2
Instruction:
1.
Please attempt all statements
2.
Read each statement and select one option which indicates how the statement applied to
over the past week.
There are no right or wrong answers.
Your test is totally confidential.
Q1. How soon after waking do you smoke your first cigarette?
31-60 minutes
5-30 minutes
Within 5 minutes
> 60 minutes
Q2. Do you find it difficult to refrain from smoking in places where it isn't allowed? e.g. Temple, Library, etc.
No
Yes
Q3. Which cigarette would you hate to give up?
The first in the morning
Any Other
Q4. How many cogarettes a day do you smoke?
10 or less
11-20
21-30
31 or more
Q5. Do you smoke more frequently in the morning?
No
Yes
Q6. Do you smoke even if you are sick in bed most of the day?
No
Yes
Q1 is empty.
Q2 is empty.
Q3 is empty.
Q4 is empty.
Q5 is empty.
Q6 is empty.