West Branch Drug & Alcohol Abuse
Commission

ADULT SUBSTANCE ABUSE SCREENING SELF-EXAM

  1. When you are under stress, do you frequently have a drink or use drugs?
  2. Do you find yourself drinking or using drugs when you are alone?
  3. Do you sometimes feel guilty about your drinking or the amount of money you spend on drugs?
  4. Has your family or employer expressed concern about your use of alcohol or other drugs?
  5. Have your tried to cut down or control your use of alcohol or other drugs and failed?
  6. Have you missed any school, work, or social commitments due to drinking or using other drugs?
  7. Have you ever borrowed money or gone without other things in order to afford alcohol or drugs?
  8. Have you noticed that it takes more alcohol to get drunk or more drugs to get you high than it once did?
  9. Have you ever used alcohol or drugs in the morning to help you "make it through the day"?
  10. Do you find yourself thinking alot about getting your first drink or buying enough drugs so that you'll have more for later?

 

IF YOU CAN ANSWER "YES" TO ONE OR MORE OF THESE QUESTIONS, PLEASE GIVE US A CALL OR STOP BY OUR OFFICE TO SCHEDULE AN ASSESSMENT BY ONE OF OUR PROFESSIONAL CASE MANAGER’S!

"This project is funded, in part, under a contract with the Pennsylvania Department of Health. Basic data for use in this study were supplied by the Pennsylvania Department of Health, Harrisburg, Pennsylvania. The Department specifically disclaims responsibility for any analyses, interpretations or conclusions."



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