PLEASE READ CAREFULLY - NOTE THESE ARE TOTALLY CONFIDENTIAL - ONLY YOU SEE THE RESULTS UNLESS YOU CHOOSE OTHERWISE

The following questions concern information about your potential involvement with drugs excluding alcohol during the past 12 months.

Carefully read each question and decide if your answer is "Yes" or "No". Then check the appropriate response for each question.

In the questions "drug abuse" refers to:

1. The use of prescribed or over the counter drugs in excess of the directions and;

2. Any non-medical use of drugs. The various classes of drugs may include:

i. Cannabis (eg marijuana, hashish)
ii. Solvents
iii. Tranquilisers (eg valium)
iv. Barbituates
v. Cocaine
vi. Stimulants (eg amphetamines such as speed)
vii. Narcotics (eg heroin)

The following questions refer to the last 12 months

1. Have you ever used drugs other than those required for medical 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 feel badly or guilty about your drug use?

Yes No

8. Does your spouse (or parents or colleagues) 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 been in 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 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? Yes No (eg memory loss, hepatitis, convulsions, bleeding etc)

Yes No

19. Have you seen anyone for help with a drug problem?

Yes No

20. Have you been involved in a treatment programme specifically related to drug use?

Yes No
 
 

 
 
Your Dast Score is:
 
DAST SCORE  DEGREE OF PROBLEMS RELATED TO DRUG USE
0 None Reported
1-4  Low level, non-dependent  
5-6 Suggestive of dependence
7 or more   Dependent

If you are concerned about your results in any way at all, please contact us or one of our counsellors.
  


 

 

 

 
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