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Drug Use Questionnaire

The purpose of this questionnaire is to provide a brief, simple, practical but valid method of identifying individuals who are abusing psychoactive drugs. It also yields a quantitative index score of the degree of problems related to drug use and drug misuse. 

3 minutes to complete

Eligibility

General eligibility to complete a Drug Use Questionnaire includes being 18 years of age or older, not currently enrolled in any substance abuse treatment program.

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Questions for Drug Use Questionnaire

Questions

1.

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

The answer should be a single choice:
  1. Yes
  2. No
2.

Have you abused prescription drugs?

The answer should be a single choice:
  1. Yes
  2. No
3.

Do you abuse more than one drug at a time?

The answer should be a single choice:
  1. Yes
  2. No
4.

Can you get through the week without using drugs?

The answer should be a single choice:
  1. Yes
  2. No
5.

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

The answer should be a single choice:
  1. Yes
  2. No
6.

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

The answer should be a single choice:
  1. Yes
  2. No
7.

Do you ever feel bad or guilty about your drug use?

The answer should be a single choice:
  1. Yes
  2. No
8.

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

The answer should be a single choice:
  1. Yes
  2. No
9.

Has drug abuse created problems between you are your spouse or your parents?

The answer should be a single choice:
  1. Yes
  2. No
10.

Have you lost friends because of your use of drugs?

The answer should be a single choice:
  1. Yes
  2. No
11.

Have you neglected your family because of your use of drugs?

The answer should be a single choice:
  1. Yes
  2. No
12.

Have you been in trouble at work because of drug abuse?

The answer should be a single choice:
  1. Yes
  2. No
13.

Have you lost a job because of drug abuse?

The answer should be a single choice:
  1. Yes
  2. No
14.

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

The answer should be a single choice:
  1. Yes
  2. No
15.

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

The answer should be a single choice:
  1. Yes
  2. No
16.

Have you been arrested for possession of illegal drugs?

The answer should be a single choice:
  1. Yes
  2. No
17.

Have you ever experienced withdrawal symptoms when you stop taking drugs?

The answer should be a single choice:
  1. Yes
  2. No
18.

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

The answer should be a single choice:
  1. Yes
  2. No
19.

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

The answer should be a single choice:
  1. Yes
  2. No
20.

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

The answer should be a single choice:
  1. Yes
  2. No

Questionnaires Similar to Drug Use Questionnaire

  • Adolescent Drug Use Questionnaire
  • Drug Use Screening Questionnaire
  • Drug Abuse Screening Test (DAST)
  • Drug Abuse Problem Profile (DAPP)
  • Drug Abuse and Dependence Questionnaire (DADQ)
  • Substance Abuse Subtle Screening Inventory (SASSI)

Here are some FAQs and additional information
on Drug Use Questionnaire

What is a Drug Use Questionnaire?

A Drug Use Questionnaire (DUQ) is a survey designed to assess a person's use of drugs and alcohol. It typically includes questions about current and past drug and alcohol use, as well as questions about any adverse effects experienced as a result of drug use.

What is the purpose of a Drug Use Questionnaire?

The purpose of a Drug Use Questionnaire is to assess a person's drug and alcohol use and help determine if they are at risk of developing a substance use disorder.

Are the answers to a Drug Use Questionnaire confidential?

Yes, all answers to a Drug Use Questionnaire are kept confidential and can only be seen by the person taking the survey and their healthcare provider.

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