The following 15 item self-assessment is intended to help you determine your level of tobacco dependency and assist you in considering whether to seek help. This self-test refers to people who have used, or are now using, tobacco and nicotine substances (i.e., cigarettes, chewing tobacco, snuff, pipes, and cigars). All results are confidential and anonymous.
Instructions: Please respond to each item the best you can in regards to your use of tobacco in the past year. If your answer is yes, or mostly yes, check Yes. If you answer is no or mostly no, check No. Click Submit once you complete the survey to see immediate results and comments. The assessment is for personal and educational purposes only and is not a substitute for an evaluation by healthcare professionals.