Have You Ever:

(check all that apply)

Had blackouts or other periods of memory loss?

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Injured your head after drinking or using drugs?

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Had convulsions, delirium tremens (“DTs”)?

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Felt sick, shaky, or depressed when you stopped?

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Felt “coke bugs” or a crawling feeling under the skin after you stopped using drugs?

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Been injured after drinking or using?

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Used needles to shoot drugs?

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Have you ever felt you needed to cut down on drinking or drug use?

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Have you ever felt you needed a drink or drug first thing in the morning to steady your nerves or to get rid of a hangover?

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Have you ever felt bad or guilty about your drinking or drug use?

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Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.)

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Do you include planning for drinking or drug use when you plan for trips or vacation?

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Have you used obtained prescription pain killer medications from more than 1 pharmacy or doctor or used someone else’s medication?

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When drinking or using drugs, are you more likely to do something you wouldn’t normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone?

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Have you used alcohol or other drugs in the last 6 months? (Such as wine, beer, hard liquor, pot, coke, heroin or other opioids, uppers, downers, hallucinogens, or inhalants)

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Have people annoyed you by criticizing your drinking or drug use?

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Has drinking or other drug use caused problems in your social or work life?

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Have you lost your temper or gotten into arguments or fights while drinking or using other drugs?

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Do you need to drink or use drugs more and more to get the effect you want?

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Addiction Self-Quiz

Have You Ever: