Alcohol and other drug use survey
Alcohol and Drug Use Survey
Discover your relationship with alcohol and drugs through our comprehensive survey. This quiz is designed to help you reflect on your usage patterns and understand the effects on your life.
Your responses are confidential and can provide valuable insights for personal growth or seeking support.
- Assess your alcohol consumption
- Evaluate your drug use history
- Understand addiction and mental health
How often do you drink alcohol?
How often do you smoke cigarettes?
Which drugs have you used?
Alcohol
Cannabis
Tobacco
Methadone
Heroin
Methamphetamine
Prescription pills
Street pills (MDMA etc)
Cocaine
Other
None of the above
Have you ever tried to stop using drugs?
Yes
No
I have never used drugs
Have you ever successfully quit using drugs?
Yes
No
I have never used drugs
Of the drugs previously listed, which one, if any was your drug of choice?
Alcohol
Cannabis
Tobacco
Methadone
Heroin
Methamphetamine
Prescription pills
Street pills (MDMA)
Cocaine
Other
None of the above
Do you believe you are addicted to drugs?
Yes
No
Do you believe drugs can affect mental health?
Yes
No
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