Alcohol/Substance Abuse Assessment Quiz

1. Have you ever used more alcohol and/or drugs than you planned?
Yes No

2. Has the use of alcohol and/or drug(s) interfered with your job?
Yes No

3. Has your alcohol and/or drug use caused conflict with your family, friends or co-workers?
Yes No

4. Do you feel depressed, guilty or remorseful after you use alcohol and/or drug(s)?
Yes No

5. Do you use whatever alcohol and/or drug(s) you have, almost continually, until the supply is exhausted?
Yes No

6. Have you ever experienced sinus problems or nosebleeds due to drug use?
Yes No

7. Do you ever wish you had never taken that first drink, line, hit or injection of alcohol and/or drug(s)?
Yes No

8. Have you experienced chest pains or rapid or irregular heartbeats when using alcohol and/or drug(s)?
Yes No

9. Do you have an obsession to get alcohol and/or drug(s) when you do not have it/them?
Yes No

10. Are you experiencing financial difficulties due to your alcohol/drug use?
Yes No

11. Do you experience an anticipation high knowing you are about to use alcohol and/or drug(s)?
Yes No

12. After using alcohol and/or drugs, do you have difficulty sleeping without taking a drink or another drug?
Yes No

13. Are you absorbed with the thought of drinking or getting high even while interacting with a friend or loved one?
Yes No

14. Have you ever drank or used drugs alone?
Yes No

15. Do you ever have feelings that people are talking about you or watching you?
Yes No

16. Have you increased the amount of alcohol and/or drugs used to get the same high you once experienced?
Yes No

17. Have you unsuccessfully tried to quit or cut down on your alcohol and/or drug use?
Yes No

18. Have friends or family members suggested that you may have a problem?
Yes No

19. Have you ever lied to or misled those around you about how much or how often you drink or use?
Yes No

20. Are you afraid that if you stop using alcohol and/or drug(s), you will suffer at the workplace and/or socially?
Yes No

21. Have you been arrested more than once for driving under the influence of alcohol?
Yes No

22. Do you spend time with people or in places you otherwise would not be around because of the availability of drugs?
Yes No

23. Have you ever stolen drugs or money from friends or family?
Yes No