Addiction Rehab Centre UK
Tel: 0800 246 1498

Addiction self-assessment

Please fill in the following questionnaire selecting one of the options for each question. Click the 'Calculate' button below to find out if you are likely to have an addiction to a particular drug.

If you are drinking alcohol rather than using drugs, please use our alcohol self-assessment.

Questions Part 1: General

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

Never or almost never Sometimes Often Always or nearly always

Have you abused prescription drugs?

Never or almost never Sometimes Often Always or nearly always

Do you abuse more than one drug at a time?

Never or almost never Sometimes Often Always or nearly always



Questions Part 2: Control of drug use.

Can you get through the week without using drugs (other than those required for medical reasons)?

Never or almost never Sometimes Often Always or nearly always

Are you always able to stop using drugs when you want to?*

Never or almost never Sometimes Often Always or nearly always

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

Never or almost never Sometimes Often Always or nearly always

Do you ever feel bad about your drug abuse?

Never or almost never Sometimes Often Always or nearly always



Questions Part 3: Relationships.

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

Never or almost never Sometimes Often Always or nearly always

Has drug abuse ever created problems between you and your spouse?

Never or almost never Sometimes Often Always or nearly always

Have you ever lost friends because of your use of drugs?

Never or almost never Sometimes Often Always or nearly always

Have you ever neglected your family or missed work because of your use of drugs?

Never or almost never Sometimes Often Always or nearly always

Questions Part 4: Activities related to drug use

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

Never or almost never Sometimes Often Always or nearly always

Have you ever lost a job because of drug abuse?

Never or almost never Sometimes Often Always or nearly always

Have you got into fights when under the influence of drugs?

Never or almost never Sometimes Often Always or nearly always

Have you engaged in illegal activities in order to obtain drugs?

Never or almost never Sometimes Often Always or nearly always

Have you ever been arrested for possession of illegal drugs?

Never or almost never Sometimes Often Always or nearly always

Questions Part 5: Withdrawal symptoms and seeking help

Have you ever experienced withdrawal symptoms as a result of heavy drug intake?

Never or almost never Sometimes Often Always or nearly always

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

Never or almost never Sometimes Often Always or nearly always

Have you ever gone to anyone for help for a drug problem?

Never or almost never Sometimes Often Always or nearly always

Have you ever been involved in a treatment programme specifically related to drug use?

Never or almost never Sometimes Often Always or nearly always









Clinical Governance | Testimonials | Latest News
Contact Us | Site Map |