Substance Use Questionnaire

1. Do you currently have concerns about your health or well-being related to drug use?

2. Is drug use making it difficult to achieve your goals?

3. Is drug use causing you to self-isolate or making it harder to connect with people?

4. Have you tried to cut back on your drug of choice but found it difficult or impossible?

5. Are you currently physically dependent on a substance? In other words, would you suffer from withdrawal symptoms or feel sick or anxious if you suddenly stopped taking your drug of choice?

6. Do you feel that the way you use drugs leads to more negative than positive experiences?