Adolescent Screen for Tobacco Dependence: The Hooked on Nicotine Checklist

Description: 
This checklist was first described in the Development and Assessment of Nicotine Dependence in Youth study, and was designed to screen adolescents for symptoms of tobacco dependence (DiFranza et al. 2002a). An adolescent answering yes to any of these questions is said to have some dependence on tobacco.

Name: _______________________ Date: _____________________

1. Have you ever tried to quit but couldn’t?   YES   NO

2. Do you smoke now because it’s really hard to quit?   YES   NO

3. Have you ever felt like you were addicted to tobacco?   YES   NO

4. Do you ever have strong cravings to smoke?   YES   NO

5. Have you ever felt like you really needed a cigarette?   YES   NO

6. Is it hard to keep from smoking in places where you are not supposed to, like at school? YES  NO

When you tried to stop smoking (or when you haven’t used tobacco for a while):

7. Did you find it hard to concentrate because you couldn’t smoke?   YES   NO

8. Did you feel more irritable because you couldn’t smoke?   YES   NO

9. Did you feel a strong need or urge to smoke?   YES   NO

10. Did you feel nervous, restless, or anxious because you couldn’t smoke?   YES   NO

This checklist was first described in the Development and Assessment of Nicotine Dependence in Youth study, and was designed to screen adolescents for symptoms of tobacco dependence (DiFranza et al. 2002a). An adolescent answering yes to any of these questions is said to have some dependence on tobacco.

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