Tobacco / gutka dependence checklist

Tobacco / gutka dependence checklist

Think about your tobacco use (any form) in the past 3 months.

This is Neuro Mind Bloom's own symptom checklist based on standard diagnostic features. It is not a published rating scale and cannot diagnose — it only helps you decide whether to consult.

1. 1. Do you use tobacco within 30 minutes of waking up?

   NoSometimesYes, often
2. 2. Do you use it more than 10 times a day?

   NoSometimesYes, often
3. 3. Do you get strong cravings if you go without it for a few hours?

   NoSometimesYes, often
4. 4. Do you feel irritable, restless or unable to concentrate when you try to stop?

   NoSometimesYes, often
5. 5. Have you tried to quit or cut down but failed?

   NoSometimesYes, often
6. 6. Do you use it even when you are ill, or have mouth ulcers, cough or breathlessness?

   NoSometimesYes, often
7. 7. Do you spend a lot of money or time getting tobacco?

   NoSometimesYes, often

Your answers are scored on this device only. Nothing is stored or sent to anyone.