ALCOHOL OR DRUG
USE CAUSING YOU
PROBLEMS?

WORRIED ABOUT
A LOVED ONE’S
USE OF ALCOHOL
OR DRUGS?

WE ARE
HERE TO
HELP.

Drug Self Assessment Test

Do you think you have a problem with drug use? Are you not sure if you should get help or not? Our drug self-assessment test can help you to get an idea if your drug is at a harmful level and what you can do in this situation. If you feel that an online test can’t answer your questions, do not hesitate to contact one of our services to arrange an appointment. Our friendly staff will listen to you and help you clear your questions and concerns. The following questions refer to your use of drugs (excluding alcohol) in the past 12 months. By drugs, we mean illicit drugs as well as prescription and over-the-counter drugs that are used in excess or in a non-medical way.

Have you ever used drugs other than those required for medical reasons?

Yes

required

Have you abused prescription drugs?

Yes

required

Do you abuse more than one drug at a time?

Yes

required

Can you get through the week without using drugs?

Yes

required

Are you always able to stop using drugs when you want to?

Yes

required

Have you had ‘flashbacks’ as a result of drug use?

Yes

required

Do you feel badly or guilty about your drug use?

Yes

required

Does your spouse (or parents or colleagues) complain about your involvement with drugs?

Yes

required

Has drug abuse created problems between you and your spouse or parents?

Yes

required

Have you lost friends because of your drug use?

Yes

required

Have you neglected your family because of your drug use?

Yes

required

Have you been in trouble at work because of drug abuse?

Yes

required

Have you lost a job because of drug abuse?

Yes

required

Have you been in fights when under the influence of drugs?

Yes

required

Have you engaged in illegal activities in order to obtain drugs?

Yes

required

Have you been arrested for possession of illegal drugs?

Yes

required

Have you experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

Yes

required

Have you had medical problems as a result of your drug use? (eg memory loss, hepatitis, convulsions, bleeding etc?)

Yes

required

Have you seen anyone for help for a drug problem?

Yes

required

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

Yes

required