FREE Drug Abuse Test

Welcome to your FREE Drug Abuse Test

Kindly complete the questionnaire so that we can evaluate your condition according to the options you select.

Name
Email
Country/ State

Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).

Have you used drugs other than those required for medical reasons?
Can you get through the week without using drugs?
Are you always able to stop using drugs when you want to?
Have you had "blackouts" or "flashbacks" as a result of drug use?
Do you ever feel bad or guilty about your drug use?
Does your spouse (or parents) ever complain about your involvement with drugs?
Have you neglected your family because of your use of drugs?
Have you been in trouble at work (or school) because of drug abuse?
Have you lost your job because of drug abuse?
Have you gotten into fights when under the influence of drugs?
Have you engaged in illegal activities in order to obtain drugs?
Have you been arrested for possession of illegal drugs?
Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
Have you had medical problems as a result of your drug use? (E.g. memory loss, hepatitis, convulsions, bleeding, etc.)
Have you gone to anyone for help for a drug problem?
Have you been involved in a treatment program specifically related to drug use?