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How Extreme Is Your Drug Use?
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How Extreme Is Your Drug Use?
Have you used drugs other than those required for medical reasons?
Yes
No
Have you abused prescription drugs?
Yes
No
Do you abuse more than one drug at a time?
Yes
No
Can you get through the week without using drugs?
Yes
No
Are you always able to stop using drugs when you want to?
Yes
No
Have you had ''blackouts'' or ''flashbacks'' as a result of drug use?
Yes
No
Do you ever feel bad or guilty about your drug use?
Yes
No
Does your spouse (or parents) ever complain about your involvement with drugs?
Yes
No
Has drug abuse created problems between you and your spouse or your parents?
Yes
No
Have you lost friends because of your use of drugs?
Yes
No
Have you neglected your family because of your use of drugs?
Yes
No
Have you been in trouble at work because of drug abuse?
Yes
No
Have you lost a job because of drug abuse?
Yes
No
Have you gotten into fights when under the influence of drugs?
Yes
No
Have you engaged in illegal activities in order to obtain drugs?
Yes
No
Have you been arrested for possession of illegal drugs?
Yes
No
Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
Yes
No
Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding, etc.)?
Yes
No
Have you gone to anyone for help for a drug problem?
Yes
No
Have you been involved in a treatment program specifically related to drug use?
Yes
No
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