ADDICTION TEST
This test will help our psychologist determine if you are dealing with addiction and how we can help.



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1. Have you ever felt that you ought to cut down on your drinking or drug use? *
2. Have people annoyed you by criticizing your drinking or drug use? *
3. Have you ever felt bad or guilty about your drinking or drug use? *
4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover? *
5. What substance or addiction are you concerned about? *
Required
6. How often do you take any of the above? *
Required
7. Do you feel if you're ever in any tough situation, a drink or drug would help make things feel better? *
8. Do you use drinks or drugs to fight depression? *
9. Have you had blackouts or other periods of memory loss?   *
10. Have you injured your head after drinking or using drugs?   *
11. Have you had convulsions, delirium tremens (“DTs”)? *
12. Have you felt sick, shaky, or depressed when you stopped? *
13. Have you felt “coke bugs” or a crawling feeling under the skin after you stopped using drugs?   *
14. Have you been injured after drinking or using?   *
15. Have you used needles to shoot drugs? *
16. Has drinking or other drug use caused problems in your social or work life?   *
17. Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession) *
18. Have you lost your temper or gotten into arguments or fights while drinking or using other drugs? *
19. When drinking or using drugs, are you more likely to do something you wouldn’t normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone? *
Would you like our psychologist to contact you after this test for further evaluation and free mental health services? We provide FREE counselling services to members of the community with emotional, sexual, behavioural or any psychological issues, through either on one or group therapy sessions. *
If you answered yes above, please provide a phone number we can reach you on.
Thank you for taking the test.
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