Why Do I Smoke?


Here are some statements made by individuals describing why they smoke. Do you feel this way when smoking? Circle the number for each statement. Important: ANSWER EVERY QUESTION. (The term smoke or smoking refers to cigarettes, cigars, and pipes.)

5
4
3
2
1
Always
Frequently
Occasionally
Seldom
Never
A.

I smoke in order to keep myself from slowing down     

5 4 3 2 1
B. Handling a cigarette, cigar, or pipe is part of the enjoyment of smoking 5 4 3 2 1
C.

Smoking is pleasant & relaxing

 5 4 3 2 1
D.

I light up when I feel angry

 5 4 3 2 1
E. When I run out of tobacco, I find it almost unbearable until I can get some more 5 4 3 2 1
F.

I smoke automatically without even being aware of it

 5 4 3 2 1
G.

I smoke for stimulation, to perk myself up

 5 4 3 2 1
H. Part of the enjoyment of smoking comes from the steps I take to light up 5 4 3 2 1
I.

I find smoking pleasurable

 5 4 3 2 1
J.

When I feel uncomfortable or upset something, I light up

 5 4 3 2 1
K.

I am very much aware of the fact that I am not smoking

 5 4 3 2 1
L. I light up without realizing I still have one burning in the ashtray 5 4 3 2 1
M.

I smoke to give me a “lift”

 5 4 3 2 1
N. When I smoke, part of the enjoyment is watching the smoke as I exhale 5 4 3 2 1
O.

I want to smoke most when I am comfortable and relaxed

 5 4 3 2 1
P. When I feel “blue” or want to take my mind off cares and worries, I smoke 5 4 3 2 1
Q. I get a real knawing hunger when I haven’t smoked for a while 5 4 3 2 1
R. I’ve Found a cigarette, cigar or pipe in my mouth and didn’t remember putting it there 5 4 3 2 1


HOW TO SCORE


1. Enter the number you have circled for each question in the spaces below. Put the number you have circled to Question A over Line A, to Question B over Line B., etc.

2. Add the three scores on each line to get your totals. For example, the sum of your scores over lines A, G, and M gives you a score on Stimulation; lines B, H and N gives you your score on Handling, etc.


A ____
+
G_____
+
M_____
=

Totals ______Stimulation

B ____
+
H_____
+
N_____
=

Totals ______Handling
   

C ____
+
I_____
+
O_____
=

Totals ______Pleasurable Relaxation

D ____
+
J_____
+
P_____
=

Totals ______Crutch / Psychological Addiction
   

E ____
+
K_____
+
O_____
=

Totals ______Craving / Chemical Addition

F ____
+
F_____
+
R_____
=

Totals ______Habit