Hooked on Nicotine Checklist (HONC)
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1. In the past 3 months, did you seriously try to quit smoking completely and forever? (yes, I quit completely and have remained non-smoking ever since; I never tried to quit; yes, I tried to quit but failed) |
2. Do you smoke cigarettes now because it is really hard to quit? (other/I don’t know/I smoke so little; I don’t know because I have never tried to quit; no; sometimes; often/always) |
3a. How physically addicted to smoking cigarettes are you? (not at all, a little, quite, very) |
3b. How mentally addicted to smoking cigarettes are you? (not at all, a little, quite, very) |
4. Do you ever have strong cravings to smoke cigarettes? (no; not often/not strong; often/not strong or not often/strong; often/strong) |
5. How often have you felt like you really need a cigarette? (never, rarely, sometimes, often) |
6. Do you find it difficult not to smoke in places where it’s not allowed (at a movie theatre, at home if your parents don’t know you smoke)? (not at all difficult/I don’t know, a bit difficult, very difficult) |
Think about the times you have cut down or stopped using cigarettes or when you haven’t been able to smoke for a long period (like most of the day). How often did you experience the following . . .? (never, rarely, sometimes, often) |
7. Trouble concentrating |
8. Feeling irritable or angry |
9. Feeling a strong urge or need to smoke |
10. Feeling nervous, anxious or tense |
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ICD-10 tobacco dependence syndrome
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(1) A strong desire or sense of compulsion to take tobacco: (4 items)
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1. Have you ever had strong cravings to smoke cigarettes? (no, yes) |
2. How physically/mentally addicted to smoking are you? (not at all addicted, a little addicted, quite addicted, very addicted) |
3. How often have you felt like you really need a cigarette? (never, rarely, sometimes, often) |
4. Do you find it difficult not to smoke in places where it’s not allowed (at a movie theatre, at home if your parents don’t know you smoke)? (not at all difficult/I don’t know, a bit difficult, very difficult) |
(2) Difficulties in controlling tobacco taking behaviour in terms of its onset, termination, or levels of use: (2 items)
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1. In the past 3 months, did you seriously try to quit smoking completely and forever? (yes, I quit completely and have remained non-smoking ever since; I never tried to quit; yes, I tried to quit but failed) |
2. Do you smoke cigarettes now because it is really hard to quit? (other/I don’t know/I smoke so little; I don’t know because I have never tried to quit; no; sometimes; often/always) |
(3) A physiological withdrawal state when tobacco use has ceased or been reduced, as evidenced by: the characteristic withdrawal syndrome for tobacco; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms: (4 items)
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Now think about the times when you have cut down or stopped using cigarettes or when you haven’t been able to smoke for a long period (like most of the day). How often did you experience the following . . .? (never, rarely, sometimes, often) |
1. Feeling irritable or angry |
2. Feeling restless/Feeling nervous, anxious or tense |
3. Trouble concentrating |
4. Feeling a strong urge or need to smoke |
(4) Evidence of tolerance, such that increased doses of tobacco are required in order to achieve effects originally produced by lower doses: (2 items)
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How true are each of the following statements for you? |
1. Compared to when I first started smoking, I need to smoke a lot more now to be satisfied. (not at all true, a bit true, very true) |
2. Compared to when I first started smoking, I can smoke much more now before I start to feel nauseated or ill. (I’ve never felt nauseated or ill from smoking, not at all true, a bit true, very true) |
(5) Progressive neglect of alternative pleasure or interests because of tobacco use, increased amount of time necessary to obtain or take the substance or to recover from its effects: (4 items)
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How true are each of the following statements for you? (not at all true, a bit true, very true): |
1. I spend a lot of time getting cigarettes (going out of my way to a store where I know they will sell to me; trying to find someone who will buy them for me) |
2. I’ve stopped hanging out with certain people because of my smoking |
3. I avoid going to a friend’s house where you’re not allowed to smoke even though I might enjoy hanging out with him/her |
4. I have cut down or stopped physical activities or sports because of my smoking |
(6) Persisting with tobacco use despite clear evidence of overtly harmful consequences, such as depressive mood states consequent to periods of heavy substance use, or drug related impairment of cognitive functioning; efforts should be made to determine that the user was actually, or could be expected to be, aware of the nature and extent of the harm: (2 items) |
How true are each of the following statements for you? (not at all true, a bit true, very true): |
1. In situations where I need to go outside to smoke, it’s worth it even in cold or rainy weather |
2. If you are sick with a bad cold or sore throat, do you smoke? (no, I don’t have to, I smoke so little; no, I stop smoking when I’m sick; yes, but I cut down on the amount I smoke; yes, I smoke the same amount as when I am sick) |
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ND/cravings
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1. In the past 3 months, did you seriously try to quit smoking completely and forever? (yes, I quit completely and have remained non-smoking ever since; I never tried to quit; yes, I tried to quit but failed) |
2. How often do you have cravings to smoke cigarettes? (never, very rarely, sometimes, often, very often) |
3. How physically addicted to smoking cigarettes are you? (not at all, a little, quite, very) |
4. How mentally addicted to smoking cigarettes are you? (not at all, a little, quite, very) |
5. How often have you felt like you really need a cigarette? (never, rarely, sometimes, often) |
6. Do you find it difficult not to smoke in places where it’s not allowed (at a movie theatre, at home if your parents don’t know you smoke)? (not at all difficult/don’t know, a bit difficult, very difficult) |
7. If you are sick with a bad cold or sore throat, do you smoke? (no, I don’t have to, I smoke so little; no, I stop smoking when I’m sick; yes, but I cut down on the amount I smoke; yes, I smoke the same amount when I am sick) |
8. How deeply do you usually inhale the smoke? (into my mouth; into my throat; into my lungs shallow; into my lungs deep) |
9. How true is the following statement for you? Cigarettes are good for dealing with boredom (not at all true, a bit true, very true) |
10. Do you smoke cigarettes now because it is really hard to quit? (I don’t know/I smoke so little/I quit; no, it is not hard to quit; never tried to quit/I don’t want to quit; yes (sometimes, often/always)) |
11. On the days that you smoke, when do you usually smoke your first cigarette of the day? (right when I wake up, in the morning, later or another time) |
How true are each of the following statements for you? (not at all true, a bit true, very true) |
12. I often run out of cigarettes quicker than I thought I would |
13. I spend a lot of time getting cigarettes (going out of my way to a store where I know they will sell to me; trying to find someone who will buy them for me) |
14. I spend a lot of time smoking cigarettes (chain smoking, smoking a lot throughout the day) |
15. When you see other kids your age smoking cigarettes, how easy is it for you not to smoke? (very easy, quite easy, a bit difficult, very difficult) |
16. How often do you smoke cigarettes when you are alone? (never, sometimes, often/always) |
Withdrawal symptoms: Think about the times when you have cut down or stopped using cigarettes or when you haven’t been able to smoke for a long period (like most of the day). How often did you experience the following? (never, rarely, sometimes, often) |
1. Feeling irritable or angry |
2. Feeling restless |
3. Feeling nervous, anxious, or tense |
4. Trouble concentrating |
5. Feeling a strong urge or need to smoke |
6. Trouble sleeping |
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Self medication: How true are each of the following statements for you? (not at all true, a bit true, very true) |
1. I can function much better in the morning after I’ve had a cigarette |
2. When I’m feeling down, a cigarette makes me feel good |
3. A cigarette gives me energy when I’m tired |
4. Smoking cigarettes calms me down when I feel nervous |
5. Smoking cigarettes helps me concentrate on my homework |
6. Smoking cigarettes relieves tension when I am stressed |