Drug Addiction Self-Assessment

Welcome to your Drug Addiction Self-Assessment

Q1. You are:

Q2. How often do you use drugs, for reasons other than any medical issue or at higher doses than recommended?

Q3. How often in the past 12 months have you abused the prescription given by your doctor?

Q4. How often in the last 12 months have you failed to fulfil your responsibilities because of drugs?

Q5. Do you ever have "blackouts" or periods you can't remember while using drugs or drinking?

Q6. How often during the last 12 months did you feel guilty because of taking drugs?

Q7. During the last 12 months, has a friend, relative, colleague, health-care worker or doctor suggested you to quit?

Q8. Do you crave to use drugs at least once in three days?

Q9. How often have you used illegal drugs?

Q10. During the past 12 months, did you participate in illegal activities to get your drugs?

Q11. Do you ever experience medical issues including, but not limited to, seizures, flashbacks and blackouts that (in your opinion) are related to your drug use?

Be sure to click the button below to see your results!




A treatment center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” The treatment center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.

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Your addiction does not have to define who you are.

You deserve excellent care and a rewarding life in recovery.