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SCREENING TEST

CHRISTIAN CARE CONNECT

Drug Abuse Screening Test

General Instructions
Test Questions
Demographic Information
Your Results

General Instructions

"Drug use" refers to (1) the use of prescribed or over‐the‐counter drugs in excess of the directions, and (2) any nonmedical use of drugs.

The various classes of drugs may include cannabis (marijuana, hashish), solvents (e.g., paint thinner), tranquilizers (e.g., Valium), barbiturates, cocaine, stimulants (e.g., speed), hallucinogens (e.g., LSD) or narcotics (e.g., heroin). The questions do not include alcoholic beverages.

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

These questions refer to drug use in the past 12 months. Please answer No or Yes.

1. Have you used drugs other than those required for medical reasons?(Required)

Yes

No

2. Do you use more than one drug at a time?(Required)

Yes

No

3. Are you always able to stop using drugs when you want to?(Required)

Yes

No

4. Have you had "blackouts" or "flashbacks" as a result of drug use?(Required)

Yes

No

5. Do you ever feel bad or guilty about your drug use?(Required)

Yes

No

6. Does your spouse (or parents) ever complain about your involvement with drugs?(Required)

Yes

No

7. Have you neglected your family because of your use of drugs?(Required)

Yes

No

8. Have you engaged in illegal activities in order to obtain drugs?(Required)

Yes

No

9. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?(Required)

Yes

No

10. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?(Required)

Yes

No

Demographic Information

Please take a moment to answer the following optional questions. Your answers are totally anonymous—we won't be able to identify you based on this information. Your answers help us provide better information and support for people like you.

You can answer as many or as few questions as you would like. When you are done, scroll to the bottom of the survey and click "View Results" to receive your screening results.

Skinner HA (1982). The Drug Abuse Screening Test. Addictive Behavior. 7(4):363-371.
Yudko E, Lozhkina O, Fouts A (2007). A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. J Subst Abuse Treatment. 32:189-198

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