Directions: These questions refer to drug use in the past 12 months.


"Drug use" refers to either:

  • The use of prescribed or over‐the‐counter drugs in excess of the directions.
  • Any nonmedical use of drugs.

The various classes of drugs may include methamphetamines (speed, crystal), cocaine, cannabis (marijuana, pot), narcotics (heroin, oxycodone, methadone, etc.), inhalants (paint thinner, aerosol, glue), hallucinogens (LSD, mushrooms), or tranquilizers (valium). The questions do not include alcoholic beverages.

1. Have you used drugs other than those required for medical reasons?
2. Do you abuse more than one drug at a time?
3. Are you unable to stop using drugs when you want to?
4. Have you ever had blackouts or flashbacks as a result of drug use?
5. Do you ever feel bad or guilty about your drug use?
6. Does your spouse (or parents) ever complain about your involvement with drugs?
7. Have you neglected your family because of your use of drugs?
8. Have you engaged in illegal activities in order to obtain drugs?
9. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
10. Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding)?


Modules describing signs and symptoms of behavioral health conditions are not diagnostic. If you have questions or concerns about your mental well-being, contact My Sanford Nurse at 701.234.5000, 1.800.821.5167, or click here to find a Sanford Health care professional. If you are having thoughts of self-harm, call the suicide prevention LIFELINE anytime at 1-800-273-TALK (8255). If this is an emergency, please call 911.

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