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The most widely used of such instruments are the Fagerstrm Tolerance Questionnaire (FTQ), created in 1978,(4) and its improved version, the Fagerstrm Test for Nicotine Dependence (FTND, Appendix 1), both devised by Fagerstrm et al.(5,6) The FTND was developed mainly because the FTQ had significant psychometric disadvantages, such as unacceptable internal consistency, poor criterion validity and a multifactorial structure.(7) The FTND was initially developed to determine whether or not nicotine replacement therapy is needed to treat withdrawal syndrome

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I must admit, however, I was surprised when I asked church leaders on Twitter to share some of the more unusual comments they have received