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5 Minute Self-Assessment Quiz
1. Have you used drugs other than those required for medicinal reasons?
*
Yes
No
2. Have you 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?
*
Yes
No
5. Are you always able to stop using drugs when you want to?
*
Yes
No
6. Have you had "blackouts" or "flashbacks" as a result of drug use?
*
Yes
No
7. Do you ever feel bad or guilty about your drug use?
*
Yes
No
8. Does your spouse (or parents) ever complain about your involvement with drugs?
*
Yes
No
9. Has drug abuse created problems between you and your spouse or your parents?
*
Yes
No
10. Have you lost friends because of your use of drugs?
*
Yes
No
11. Have you neglected your family because of your use of drugs?
*
Yes
No
12. Have you been in trouble at work because of drug abuse?
*
Yes
No
13. Have you lost a job because of drug abuse?
*
Yes
No
14. Have you gotten into fights when under the influence of drugs?
*
Yes
No
15. Have you engaged in illegal activities in order to obtain drugs?
*
Yes
No
16. Have you been arrested for possession of illegal drugs?
*
Yes
No
17. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
*
Yes
No
18. Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding, etc.)?
*
Yes
No
19. Have you gone to anyone for help for a drug problem?
*
Yes
No
20. Have you been involved in a treatment program specifically related to drug use?
*
Yes
No
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Colin Garnett
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