Substance Screening // 6 Items // Tobacco Use Disorder / Nicotine Dependence

FTND — Fagerström Test for Nicotine Dependence

Standardized psychometric screener. Scoring calculations and Measurement-Based Care (MBC) progress note compilation execute 100% inside your browser. Zero Protected Health Information (PHI) is ever transmitted to or stored on external servers.

⚖️ Fair Use & Educational Assessment Notice

This self-report instrument is provided free of charge under 17 U.S. Code § 107 (Fair Use) for clinical educational, screening, and measurement-based care (MBC) documentation. Calculations execute 100% locally on your device. Nivilia Wellness does not store, monetize, or transmit your individual responses.

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Score: 0 / 10 • 0 of 6 answered

• Unscored

View EHR Note ↓

Standard Administration Instructions

Please answer the following 6 questions regarding your smoking habits:

Measurement-Based Care (MBC) Progress Note

FTND Clinical Record & EHR Output

Score: 0 / 10

Clinical Decision Support (CDSS) Guidance

Complete assessment items above to generate dynamic clinical decision guidance and treatment pathway recommendations.

De-Identified EHR Progress Note (Ready for SimplePractice / TherapyNotes / Jane App)

FTND — Fagerström Test for Nicotine Dependence

CRISIS SAFETY SENTINEL TRIGGERED

FTND Clinical Record & EHR Output

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