|
Instructions.
Answer the following questions honestly. Then score yourself
according to the key.
Have you ever felt you should cut down on your drug use?
[] Y [] N
Do you ever use drugs when you’re alone?
[] Y [] N
Have you ever used more of a drug than you intended in
a given period of time?
[] Y [] N
Have you ever used drugs for a longer period of time than
you originally intended?
[] Y [] N
Have you ever used more than one drug at a time?
[] Y [] N
Concerning your use of drugs, has anyone ever told you
that you use too much?
[] Y [] N
Have you ever taken one drug to overcome the effects of
another?
[] Y [] N
Have you ever thought that your life might be better if
you didn’t take drugs?
[] Y [] N
Have you ever felt angry at yourself or guilty because
of your drug use?
[] Y [] N
Do you regularly use a drug at certain times of the day
or on certain occasions, for example, when you go to bed,
when you wake up, before or after a meal, or before or after
sex?
[] Y [] N
Have you ever lied about your drug use to family members
or friends?
[] Y [] N
Have you ever lied to a doctor or faked symptoms to get
prescription drugs?
[] Y [] N
Have you ever stolen drugs?
[] Y [] N
Have you ever stolen money or material goods that you could
sell to obtain drugs?
[] Y [] N
Have you ever done things to obtain drugs that you later
regretted?
[] Y
Has your drug use ever caused problems for you with school
or with work?
[] Y [] N
Have you noticed that you need to use more and more of
a drug to get you high?
[] Y [] N
Do you experience withdrawal symptoms when you go without
drugs for a few days?
[] Y [] N
Do you panic when your drug supply gets low?
[] Y [] N
Have you ever done something when you were high that you
felt guilty about later?
[] Y [] N
Have you ever gotten into fights when high on drugs?
[] Y [] N
Have you ever been arrested for any drug-related activity
(including possession)?
[] Y [] N
Have you ever been diagnosed with a medical problem related
to your drug use?
[] Y [] N
Have you ever overdosed on a drug?
[] Y [] N
Have you ever attended a treatment program specifically
related to drug use?
[] Y [] N
Have you associated with people with whom you normally
wouldn’t just so you could have access to drugs?
[] Y [] N
Have you stopped associating with any of your friends because
they don’t use drugs as much as you?
[] Y [] N
Key: If you answered Yes to any two of these questions,
this is a sign that you have a problem with drugs. If you
answered Yes to any three, the chances are that you do have
a problem with drugs. If you answered Yes to four or more,
you definitely have a problem with drugs.
Now it is up to you, do you want to change? Do you want
to have your life back? Then my friend i urge you to contact
us and we will help you get the help that you need. Write
or e-mail me today.
For more information contact:
Totally Free Ministries
6 - 295 Queen St E Suite 232
Brampton, ON L6W 4S6
Call today: 1-877-687-2748
All Calls are completly confidential
Email:
mail@totallyfreeministries.com
© Copyright 2004
- 2010. All Rights Reserved.
|
