SELF TEST for SUBSTANCE ABUSE  
 
Read more about Substance Abuse
Please provide us with your gender.
Gender: Male Female  
 
1. Have you tried to cut back on your drug or alcohol use without success?
 
Constantly
Often
Sometimes
Rarely
Never
   
2. Have friends and family told you that you are drinking or drug using too much?
 
Constantly
Often
Sometimes
Rarely
Never
   
3. Do you use larger amounts of alcohol or drugs to get high?
 
Constantly
Often
Sometimes
Rarely
Never
   
4. Do you spend a lot of time each day getting your alcohol or drugs?
 
Constantly
Often
Sometimes
Rarely
Never
   
5. Are you losing time at work or school because of your drug or alcohol use?
 
Constantly
Often
Sometimes
Rarely
Never
   
6. Do experience withdrawal symptoms when you stop using alcohol or drugs for 24 hours?
 
Constantly
Often
Sometimes
Rarely
Never
   
7. Do you drive a motor vehicle while under the influence of drugs or alcohol?
 
Constantly
Often
Sometimes
Rarely
Never
   
8. Have you had been arrested for drug or alcohol related offenses?
 
Constantly
Often
Sometimes
Rarely
Never
   
9. Does your life seem to be falling apart because of your alcohol or drug use?
 
Constantly
Often
Sometimes
Rarely
Never
   
10. Do you wish you could stop drinking or drug using but cannot seem to do so?
 
Constantly
Often
Sometimes
Rarely
Never
   
 
 
   
 
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