Drug Abuse Screening Test

The following questions concern information about your involvement with drugs. Drug abuse refers to (1) the use of prescribed or “over-the-counter” drugs in excess of the directions, and (2) any non-medical use of drugs. Consider the past year (12 months) and carefully read each statement. Then decide whether your answer is YES or NO and check the appropriate space. Please be sure to answer every question.

1. Have you used drugs other than those required for medical reasons?

2. Have you abused prescription drugs?

3. Do you abuse more than one drug at a time?

4. Can you get through the week without using drugs (other than those required for medical reasons)?

5. Are you always able to stop using drugs when you want to?

6. Have you had “blackouts” or “flashbacks” as a result of drug use?

7. Do you ever feel bad or guilty about your drug use?

8. Does your spouse (or parents) ever complain about your involvement with drugs?

9. Has drug abuse created problems between you and your spouse or your parents?

10. Have you ever lost friends because of your use of drugs?

11. Have you ever neglected your family or missed work because of your use of drugs?

12. Have you ever been in trouble at work because of drug abuse?

13. Have you ever lost a job because of drug abuse?

14. Have you gotten into fights when under the influence of drugs?

15. Have you engaged in illegal activities in order to obtain drugs?

16. Have you ever been arrested for possession of illegal drugs?

17. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

18. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?

19. Have you ever gone to anyone for help for a drug problem?

20. Have you ever been involved in a treatment program specifically related to drug use?


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