Drug Abuse Screening Tool

Drug Abuse Self Screen

Answer all the following questions and then push the "result"
button at the end of the questionnaire to get your score.

1. Have you used drugs other than those required for medical reasons?	Yes	No

2. Have you ever abused prescription drugs?	Yes	No

3. Do you abuse more than one drug at a time?	Yes	No

4.Can you get through the week without using drugs (other than those required for medical reasons)?	Yes	No

5. Are you always able to stop using drugs when you want to?	Yes	No

6. Do you abuse drugs on a continuous basis?	Yes	No

7. Do you try to limit your drug use to certain situations?	Yes	No

8. Have you had "blackouts" or "flashbacks" as a result of drug use?	Yes	No

9. Do you ever feel bad about your drug abuse?	Yes	No

10. Does your spouse (or parents) ever complain about your involvement with drugs?	Yes	No

11. Do your friends or relatives know or suspect you abuse drugs?	Yes	No

12. Has your drug abuse ever created problems between you and your spouse?	Yes	No

13. Has any family member ever sought help for problems related to your drug use?	Yes	No

14. Have you ever lost friends because of your use of drugs?	Yes	No

15. Have you ever neglected your family or missed work because of your use of drugs?	Yes	No

16. Have you ever been in trouble at work because of drug abuse?	Yes	No

17. Have you ever lost a job because of drug abuse?	Yes	No

18. Have you gotten into fights when under the influence of drugs?	Yes	No

19. Have you ever been arrested because of unusual behavior while under the influence of drugs?	Yes	No

20. Have you ever been arrested for driving while under the influence of drugs?	Yes	No

21. Have you engaged in illegal activities in order to obtain drugs?	Yes	No

22. Have you been arrested for possession of dangerous drugs?	Yes	No

23. Have you ever experienced withdrawal symptoms as a result of heavy drug intake?	Yes	No

24. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?	Yes	No

25. Have you ever gone to anyone for help for a drug problem?	Yes	No

26. Have you ever been in a hospital for medical problems related to drug use?	Yes	No

27. Have you ever been involved in a treatment program specifically related to drug care?	Yes	No

28. Have you been treated as an out-patient for problems related to drug use?	Yes	No

FROM: Skinner HA. The Drug Abuse Screening Test. Addictive Behavior 7(4): 363-371, 1982.