The six factors measured by this test describe one or another way of experiencing or managing certain kinds of feelings. Three of these feelings represent the positive feelings people get from smoking; 1) a sense of increased energy or stimulation; 2) the satisfaction of handling or manipulating things; and 3) the enhancing or pleasurable feelings accompanying a state of well being. The fourth is a decrease in negative feelings due to the reduction of tension, anxiety, anger, shame, etc. The fifth is a complex pattern of increasing and decreasing "craving" for a cigarette, and represents a psychological addiction to cigarettes. The sixth is habit: smoking takes place in the absence of feeling - purely automatic smoking.

A score of 11 or above on any factor indicates that this factor is an important source of satisfaction for you. The higher your score (15 is the highest), the more important a particular factor is in your smoking and the more useful the discussion of that factor can be in your attempt to quit.

A few words of warning: If you give up smoking, you may have to learn to get along without the satisfaction that smoking gives you. Either that, or you will have to find some more acceptable ways of getting this satisfaction. In either case, you need to know just what it is that you get out of smoking before you can decide either to forgo the satisfaction it gives you or to find another way to achieve it.

1. Stimulation
   If you score high or fairly high on this factor, it means that you are one of those smokers who is stimulated by the cigarettes - you feel that it helps wake you up, organize your energies, and keep you going. If you try to give up smoking, you may want a safe substitute: a brisk walk or moderate exercise, for example, whenever you feel the urge to smoke.
2. Handling
   Handling things can be satisfying, but there are many ways to keep your hands busy without lighting up or playing with a cigarette. Why not toy with a pen or pencil? Or try doodling. Or play with a coin, a piece of jewelry, or some other harmless object. There are plastic cigarettes if you can trust yourself not to light it.
3. Accentuation of pleasure - pleasurable relaxation
   It is not always easy to find out whether you use the cigarette to feel good, that is, get real, honest pleasure out of smoking (Factor 3), or to keep from feeling so bad (Factor 4). About two-thirds of smokers score high or fairly high on accentuation of pleasure, and about half of those also score as high or higher on reduction of negative feelings. Those who get real pleasure out of smoking often find that the honest consideration of the harmful effects of their habit is enough to help them quit. They substitute eating, drinking, social activities, and physical activities - within reasonable bounds - and find they do not seriously miss their cigarette.
4. Reduction of negative feelings, or "crutch"
   Many smokers use the cigarette as a kind of crutch in moments of stress or discomfort, and on occasion it may work; the cigarette is sometimes used as a tranquilizer. But the heavy smokers, the persons who try to handle severe personal problems by smoking many times a day, are apt to discover that cigarettes do not help them deal with their problems effectively. When it comes to quitting, these kinds of smoker may find it easy to stop when everything is going well, but may be tempted to start again in a time of crisis. Again, physical exercise, eating, drinking, or social activity - all in moderation - may serve as useful substitutes for cigarettes, even in times of tension. The choice of substitute depends on what will achieve the same effect without having any appreciable risk.
5. "Craving," or psychological addiction
   Quitting smoking is difficult for people who score high on this factor. For them, the craving for the next cigarette begins to build the moment they put one out, so tapering off is not likely to work. They must go "cold turkey".
   It may be helpful for these types of smokers to smoke more than usual for a day or two, so that the taste for cigarettes is spoiled, and to isolate themselves completely from cigarettes until the craving is gone. Giving up cigarettes may be difficult and cause so much discomfort that once they do quit, they would find it easy to resist the temptation to go back to smoking because they know that some day they will have to go through the same agony again.
6. Habit
   These smokers no longer gain much satisfaction from cigarettes. They just light them up frequently without even realizing that they are doing so. They may find it easy to quit and stay off it, if they can break the habit patterns that they have built up. Cutting down gradually may be quite effective as there is a change in the way the cigarettes are smoked and the conditions under which they are smoked. The key to success is gaining awareness of each cigarette that you smoke. This can be done by asking yourself, "Do I really want this cigarette?" You may be surprised at how much you do not want it.

Summary of Test
If you do not score high on any of the six factors, chances are that you do not smoke very much or have not been smoking for many years. If so, giving up smoking - and staying off - should be easier.

If you score high on several categories, you apparently get several kinds of satisfaction from smoking and will have to find several solutions. Certain combinations of scores may indicate that giving up smoking will be especially difficult. Those who score high on both Factor 4 and Factor 5, reduction of negative feelings and craving, may have a particularly hard time in quitting smoking and in staying off. However, there are ways to do it; many smokers represented by this combination have been able to quit.

Others who score high on Factors 4 and 5 may find it useful to change their patterns of smoking and cut down at the same time. They can try to smoke fewer cigarettes, smoke them only halfway down, use low-tar-and-nicotine cigarettes, and inhale less often and less deeply. After several months of this temporary solution, they may find it easier to stop completely.

You must make two important decisions:

• Whether to try to do without the satisfaction you get from smoking or find an appropriate, less hazardous substitute
• Whether to try to cut out cigarettes all at once or to taper off.

Your scores should guide you in making both of these decisions.

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