4% Question 1 of 28 1. Have you used drugs other than those required for medical reasons?YesNoQuestion 1 of 28Question 2 of 28 2. Have you abused prescription drugs?YesNoQuestion 2 of 28Question 3 of 28 3. Do you abuse more than one drug at a time?YesNoQuestion 3 of 28Question 4 of 28 4. Can you get through the week without using drugs (other than those required for medical reasons)?YesNoQuestion 4 of 28Question 5 of 28 5. Are you always able to stop using drugs when you want to?YesNoQuestion 5 of 28Question 6 of 28 6. Do you abuse drugs on a continuous basis?YesNoQuestion 6 of 28Question 7 of 28 7. Do you try to limit your drug use to certain situations?YesNoQuestion 7 of 28Question 8 of 28 8. Have you had “blackouts” or “flashbacks” as a result of drug use?YesNoQuestion 8 of 28Question 9 of 28 9. Do you ever feel bad about your drug abuse?YesNoQuestion 9 of 28Question 10 of 28 10. Does your spouse (or parents) ever complain about your involvement with drugs?YesNoQuestion 10 of 28Question 11 of 28 11. Do your friends or relatives know or suspect you abuse drugs?YesNoQuestion 11 of 28Question 12 of 28 12. Has drug abuse ever created problems between you and your spouse?YesNoQuestion 12 of 28Question 13 of 28 13. Has any family member ever sought help for problems related to your drug use?YesNoQuestion 13 of 28Question 14 of 28 14. Have you ever lost friends because of your use of drugs?YesNoQuestion 14 of 28Question 15 of 28 15. Have you ever neglected your family or missed work because of your use of drugs?YesNoQuestion 15 of 28Question 16 of 28 16. Have you ever been in trouble at work because of drug abuse?YesNoQuestion 16 of 28Question 17 of 28 17. Have you ever lost a job because of drug abuse?YesNoQuestion 17 of 28Question 18 of 28 18. Have you gotten into fights when under the influence of drugs?YesNoQuestion 18 of 28Question 19 of 28 19. Have you ever been arrested because of unusual behavior while under the influence of drugs?YesNoQuestion 19 of 28Question 20 of 28 20. Have you ever been arrested for driving while under the influence of drugs?YesNoQuestion 20 of 28Question 21 of 28 21. Have you engaged in illegal activities in order to obtain drug?YesNoQuestion 21 of 28Question 22 of 28 22. Have you ever been arrested for possession of illegal drugs?YesNoQuestion 22 of 28Question 23 of 28 23. Have you ever experienced withdrawal symptoms as a result of heavy drug intake?YesNoQuestion 23 of 28Question 24 of 28 24. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?YesNoQuestion 24 of 28Question 25 of 28 25. Have you ever gone to anyone for help for a drug problem?YesNoQuestion 25 of 28Question 26 of 28 26. Have you ever been in a hospital for medical problems related to your drug use?YesNoQuestion 26 of 28Question 27 of 28 27. Have you ever been involved in a treatment program specifically related to drug use?YesNoQuestion 27 of 28Question 28 of 28 28. Have you been treated as an outpatient for problems related to drug abuse?YesNoQuestion 28 of 28 Loading...