Smoking: Self-Efficacy / Temptation (Short Form)

Listed below are situations that lead some people to smoke. We would like to know HOW TEMPTED you may be to smoke in each situation. Please answer the following questions using the following five point scale.

1 = Not at all tempted
2 = Not very tempted
3 = Moderately tempted
4 = Very tempted
5 = Extremely tempted

1.	With friends at a party.
2.	When I first get up in the morning.
3.	When I am very anxious and stressed.
4.	Over coffee while talking and relaxing.
5.	When I feel I need a lift.
6.	When I am very angry about something or someone.
7.	With my spouse or close friend who is smoking.
8.	When I realize I haven’t smoked for a while.
9.	When things are not going my way and I am frustrated.

Scoring

Positive Affect / Social Situation	1, 4, 7
Negative Affect Situations	3, 6, 9
Habitual / Craving Situation	2, 5, 8

References

Velicer, W.F., DiClemente, C.C., Rossi, J.S., & Prochaska, J.O. (1990).  Relapse situations and self-efficacy: An integrative model.  Addictive Behaviors, 15, 271-283.