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Please note: Online screening tools are not diagnostic instruments. You are encouraged to share your results with a physician or healthcare provider. Reach for Resilience and partners disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of these screens.

When the words “drug abuse” are used, they mean the use of prescribed or over‐the‐counter medications/drugs in excess of the directions and any non‐medical use of drugs. The various classes of drugs may include: cannabis [e.g., marijuana, hash], solvents, tranquilizers [e.g., Valium], barbiturates, cocaine, stimulants 9e.g., speed], hallucinogens [e.g., LSD] or narcotics [e.g., heroin]. Remember that the questions do not include alcohol or tobacco.

If you have difficulty with a statement, then choose the response that is mostly right.

Select your answer based on the last 12 months.

Have you used drugs other than those required for medical reasons?

Do you abuse more than one drug at a time?

Are you always able to stop using drugs when you want to? [If never use drugs, answer “Yes.”]

Have you had "blackouts" or "flashbacks" as a result of drug use?

Do you ever feel bad or guilty about your drug use? If never use drugs, choose “No.”

Does your spouse [or parents] ever complain about your involvement with drugs?

Have you neglected your family because of your use of drugs?

Have you engaged in illegal activities in order to obtain 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.]?

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