Confidential Substance Use Assessment

If you are concerned about your own substance use or the substance use of someone you care about, this confidential self-assessment can help you better understand potential signs of substance use disorder.

About This Self-Assessment

This confidential substance use self-assessment helps identify patterns of alcohol or drug use that may be affecting your health, relationships, or daily life.

Your responses will be scored automatically, and a brief interpretation will be provided when you complete the assessment. This screening tool is intended for informational purposes only and does not provide a medical diagnosis.

Substance Use Disorder Assessment

Please answer each question honestly based on your alcohol or drug use during the past 12 months. Responses are confidential, are not shared with third parties, and are not intended to create a medical record or establish a patient-provider relationship.

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This field is for validation purposes and should be left unchanged.
1. I often use alcohol or drugs in larger amounts, or for longer, than I intend.*
Example: Planned to use a small amount but ended up using more or for longer than intended.
2. I find it difficult to cut back or control my use. I may limit it to evenings or weekends, but often return to previous patterns of use.*
Examples: Unable to stick to a weekend-only rule, repeatedly breaking limits you set for yourself, or being unable to complete a dry month.
3. I spend a lot of time using, obtaining, or recovering from alcohol or drugs.*
Examples: Planning around use, seeking substances, or recovering from hangovers.
4. My alcohol or drug use interferes with responsibilities at work, school, or home.*
Examples: Tardiness or absences, poor performance, missed deadlines, late bills, or neglected responsibilities.
5. I continue to use alcohol or drugs even when I know they are causing or worsening physical or mental health problems.*
6. I need more alcohol or drugs to achieve the same effect, or the same amount has less effect than before.*
7. Because of my use, I reduce or give up important social, recreational, or work activities.*
Examples: Missing family events, giving up hobbies, or losing interest in activities you once enjoyed.
8. I continue to use alcohol or drugs despite problems with family, friends, or relationships.*
Examples: Arguments about your use, conflict with loved ones, loss of trust, or damaged relationships.
9. I experience strong urges or cravings to use alcohol or drugs.*
Examples: Stress-triggered urges or feeling a strong pull to use when certain situations, emotions, or times of day occur.
10. I use alcohol or drugs in situations where doing so could be dangerous.*
Examples: Driving while impaired, operating machinery, or engaging in risky behaviors while intoxicated.
11. When I reduce or stop using alcohol or drugs, I experience withdrawal symptoms or use to avoid those symptoms.*
Example: Trouble sleeping, restlessness, irritability, sweating, shaking, or a racing heart.