Drug Abuse Screening Test
Please answer yes or no to the following:
  1. Have you used drugs other than those required for medical reasons?

  2.

 Have you abused prescription drugs (i.e. taken more than prescribed)?
  3. Do you abuse more than one drug at a time?
  4. Do you find that you cat' get through the week without using drugs (other than those required for medical reasons)?
  5. Do you ever feel bad about your drug abuse?
  6 . Have you had "blackouts" or "flashbacks" as a result of drug use?
  7. Do you use/abuse drugs on a continued basis?
  8. Are you unable to limit your drug use to certain situations?
  9. Do your loved ones ever complain about your involvement with drugs?
10. Are you unable to stop usign drugs when you want to?
11. Has drug use ever created problems between you and your spouse?
12. Do your friends or relatives know or suspect you abuse drugs?
13.

Have you had medical problmes as a result of durg use (i.e. memory loss, hepatitis, convulsions, bleeding, etc)?
14. Have you ever experienced withdrawal symptoms as a result of heavy drug intake?
15. Have you ever lost friends because of your use of drugs?
16. Have you engaged in illegal activities in order to obtain drugs?
17. Have you ever been in trouble at work because of drug abuse?
18. Have you ever lost a job because of drug abuse?
19. Have you gotten into fights when under the influence of drugs?
20. Have you ever been arrested because of unusual behavior while under the influence of drugs?

If you answered yes to 1-5 questions your at a low level of dependence, 6-10 a moderate level, 10-15 a substantial level, and if your answered 16-20 as yes your at a severe level that your usage patterns are harmful and possibly considered dependent or abusive.

You may want to seek an evaluation by a healthcare professional.