Quiz - Substance Abuse Screening

Substance Abuse Screening Quiz

 

Q: Have you used drugs/alcohol other than those required for medical purposes?

Yes No

Q: Have you abused perscription drugs/alcohol?

Yes No

Q: Do you use more than one drug/alcohol at a time?

Yes No

Q: Do you use drugs/alcohol more than once a week?

Yes No

Q: Have you tried to stop using drugs/alcohol and were you not able to do so?

Yes No

Q: Have you had blackouts or flashbacks as a result of drug/alcohol use?

Yes No

Q: Do you ever feel bad or guilty about your drug/alcohol use?

Yes No

Q: Do your parents or friends ever tell you to cut back your drug/alcohol use?

Yes No

Q: Has drug/alcohol abuse created problems between you and your parents?

Yes No

Q: Have you lost friends because of your use of drugs/alcohol?

Yes No

Q: Have you neglected your family because of your use of drugs/alcohol?

Yes No

Q: Have you been in trouble at school because of your use of drugs/alcohol?

Yes No

Q: Have you gotten into fights when under the influence of drugs/alcohol?

Yes No

Have you engaged in illegal activities in order to obtain illegal drugs/alcohol?

Yes No

Q: Have you been arrested for possession of illegal drugs/alcohol?

Yes No

Q: Have you ever experienced withdrawal symptoms(felt sick) when you stopped taking drugs/alcohol?

Yes No

Q: Have you had medical problems as a result of your drugs/alcohol use?

Yes No

Q:Have you gone to anyone for help for a drug/alcohol problem?

Yes No

Q: Have you stopped doing things that used to be a big part of your life? (Sports, school work, hanging out with friends who don't do drugs/alcohol)?

Yes No

Q: Do you hide drugs or alcohol?

Yes No

Q: Do you use them alone?

Yes No