The following questions concern use of drugs not including alcoholic beverages and tobacco during the past 12 months. Your responses will remain confidential.

In the statements, “drug abuse” refers to (1) the use of prescribed or over the counter drugs in excess of the way they were prescribed or intended to be used and (2) any non-medical use of drugs. The various classes of drugs may include: cannabis (e.g., marijuana, hash, edibles, oils, dabs, and vapes), solvents (e.g., gas, paints etc…), tranquilizers (e.g., LSD) or narcotics (e.g., Heroin). Remember that the questions do not include alcohol or tobacco.

Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right.
  • 1. Have you used drugs other than those required for medical reasons?
  • 2. Do you abuse more than one drug at a time?
  • 3. Are you always able to stop using drugs when you want to?
  • 4. Have you had "blackouts" or "flashbacks" as a result of drug use?
  • 5. Do you ever feel bad or guilty about your drug use?
  • 6. Does your spouse (or parent) ever complain about your involvement with drugs?
  • 7. Have you neglected your family because of your use of drugs?
  • 8. Have you engaged in illegal activities in order to obtain drugs?
  • 9. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
  • 10. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc...)?
Please answer all questions before proceeding.
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All responses to screening tools on this site are completely anonymous. Results from the screening tools are intended to identify risk and not to diagnose or treat. The information provided here cannot substitute for a full evaluation by your medical or mental health professional. Discuss the results of your screening with your medical or mental health provider.