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Do you ever use alone?
 
Yes
 
No
 
 
 
Have you ever substituted one drug for another, thinking that one particular drug was the problem?
 
Yes
 
No
 
 
 
Have you ever manipulated or lied to a doctor to obtain prescription drugs?
 
Yes
 
No
 
 
 
Have you ever stolen drugs or stolen to obtain drugs?
 
Yes
 
No
 
 
 
Do you regularly use a drug when you wake up or when you go to bed?
 
Yes
 
No
 
 
 
Have you ever taken one drug to overcome the effects of another?
 
Yes
 
No
 
 
 
Do you avoid people or places that do not approve of you using drugs?
 
Yes
 
No
 
 
 
Has your job or school performance ever suffered from the effects of your drug use?
 
Yes
 
No
 
 
 
Have you ever lied about what or how much you use?
 
Yes
 
No
 
 
 
Do you put the purchase of drugs ahead of your financial responsibilities?
 
Yes
 
No
 
 
 
Does using interfere with your sleeping or eating?
 
Yes
 
No
 
 
 
Is your drug use making life at home unhappy?
 
Yes
 
No