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Substance abuse survey

Substance abuse surveys are conducted to gather information about the prevalence of substance abuse and to identify risk factors for substance abuse.

Time to complete

1 minute

Eligibility

The survey is open to people aged 18 and over who have used substances within the past year.

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Questions for Substance abuse survey

1.

Have you ever tried a substance that you knew was harmful to your health?

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

Do you currently use any substances that you know are harmful to your health?

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

Do you feel that you are addicted to any substances?

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

Do you feel that you have ever harmed yourself or someone else while under the influence of substances?

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

Do you feel that substances have ever interfered with your ability to function in daily life?

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

Do you feel that you have ever put yourself or someone else in danger while under the influence of substances?

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

Have you ever experienced withdrawal symptoms when you stopped using substances?

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

Do you feel that you need substances in order to cope with stress or other problems?

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

Do you feel that you have ever lost control over your use of substances?

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

Do you feel that substances have ever caused you financial problems?

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

Similar Ideas

  • Substance abuse screening
  • Substance abuse assessment
  • Substance abuse questionnaire
  • Substance abuse inventory

Here are some FAQs and additional information
on Substance abuse survey

What does the term “substance abuse” mean?

The term “substance abuse” refers to the misuse of drugs or alcohol. Substance abuse can lead to addiction, a chronic and relapsing brain disease.

What are some of the signs and symptoms of substance abuse?

Some of the signs and symptoms of substance abuse include: -Changes in mood or behavior -Problems at work or school -Financial problems -Relationship problems -Legal problems -Health problems

What are some of the risks associated with substance abuse?

Some of the risks associated with substance abuse include: -Accidents -Injuries -Violence -Overdose -Addiction -Chronic health problems

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