Has anyone voiced concern about your use of drugs?

Do you budget money for the purchase of drugs?

Have you made a conscious attempt to reduce your drug consumption?

Have you attended a meeting of a self-help group such as Alcoholics Anonymous or Narcotics Anonymous?

Has anyone in your immediate family ever been treated for substance abuse? (Include parents, siblings, grandparents, uncles, and aunts for alcohol, prescription drugs and/or street drugs)

Do many of your friends use drugs?

Do you feel more comfortable with people after you have used drugs?

Do you feel drugs help you relax?

Have you used prescription medication more often than recommended?

Have you been involved in an industrial accident?

Have you felt anxious when drugs were not available?

Do you regularly spend time in areas or establishments were drugs are sold or used?

Are there certain times of the day or week that you look forward to using a drug?

Do you use more drugs now than a year ago?

Do you use drugs following a quarrel, disappointment, or when the boss gives you a hard time?

Do you sometimes feel guilty about your drug use?

Have you purchased illegal drugs?

Do you have difficulty maintaining your weight?

Have you been on a prescription medication for a month or more without knowing its potential for side effects, or if it is addictive?

Have you had financial problems because of the amount of money you spend on drugs?

Have you had a positive drug screen?

Have you experienced any legal problems with drug use?

Do you have any  “driving under the influence” violations?

Have you ever been treated for drug abuse?

After drug use have you experienced loss of memory?

Have you used drugs on the job?

Do you feel that the use of drugs helps you workbetter?

Have you felt ill because you did not use a drug?

Have you changed the types of drugs you use to try to control your drug use?