Chemical Dependency Self Test

If you think you might have a drug problem, or if you think someone you know might have a drug problem, answer the questions below. If you answer “Yes” to any question, it is time to seek professional evaluation.

DRUG ASSESSMENT SCREENING TEST

• Have you used drugs other than those required for medical reasons?
• Have you abused prescription drugs?
• Do you abuse more than one drug at a time?
• Can you get through the week without using drugs?
• Are you always able to stop using drugs when you want to?
• Have you had “blackouts” or “flashbacks” as a result of drug use?
• Do you ever feel bad or guilty about your drug use?
• Does your spouse (parents) complain about your involvement with drugs?
• Have drugs created problems between you and your spouse or between you and your parents?
• Have you lost friends because of your drug use?
• Have you neglected your family because of drug abuse?
• Have you been in trouble at work because of drug abuse?
• Have you lost a job because of drug abuse?
• Have you gotten into fights when under the influence of drugs?
• Have you engaged in illegal activities to obtain drugs?
• Have you been arrested for possession of illegal drugs?
• Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
• Have you had medical problems as a result of your drug use (e.g. memory loss; hepatitis; convulsions; bleeding, etc.)
• Have you ever gone to anyone for help with a drug problem?
• Have you been involved in a treatment program specifically related to drug use?