The following questions make up The Drug Abuse Screening Self Test:
- Have you used drugs other then those required for medical reasons?
- Have you abused prescription drugs?
- Do you abuse more than one drug at a time?
- Can you get through the week without using drugs (other than those required for medical reasons)?
- Are you always able to stop using drugs when you want to?
- Have you had "blackouts" or "flashbacks" as a result of drug use?
- Does your spouse (or parents) ever complain about your involvement with drugs?
- Has drug abuse created problems between you and your spouse or your parents?
- Have you lost friends because of your use of drugs?
- Have you neglected your family because of your use of drugs?
- Have you been in trouble at work because of drug abuse?
- Have you lost a job because of drug abuse?
- Have you gotten into fights when under the influence of drugs?
- Have you engaged in illegal activities in order to obtain drugs?
- Have you been arrested for possession of illegal drugs?
- Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
- Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?
- Have you gone to anyone for help for a drug problem?
- Have you been involved in a treatment program specifically related to drug use?