Drug Use Questionnaire

The purpose of this questionnaire is to provide a brief, simple, practical but valid method of identifying individuals who are abusing psychoactive drugs. It also yields a quantitative index score of the degree of problems related to drug use and drug misuse.

3 minutes to complete

Eligibility

General eligibility to complete a Drug Use Questionnaire includes being 18 years of age or older, not currently enrolled in any substance abuse treatment program.

Questions for Drug Use Questionnaire

Questions

Have you used drugs other than those used for medical reasons?

1. Yes
2. No

Have you abused prescription drugs?

1. Yes
2. No

Do you abuse more than one drug at a time?

1. Yes
2. No

Can you get through the week without using drugs?

1. Yes
2. No

Are you always being able to stop using drugs when you want to?

1. Yes
2. No

Have you had "blackouts" or "flashbacks" as a result of drug use?

1. Yes
2. No

Do you ever feel bad or guilty about your drug use?

1. Yes
2. No

Does your spouse (or parents) ever complain about your involvement with drugs?

1. Yes
2. No

Has drug abuse created problems between you are your spouse or your parents?

1. Yes
2. No

Have you lost friends because of your use of drugs?

1. Yes
2. No

Have you neglected your family because of your use of drugs?

1. Yes
2. No

Have you been in trouble at work because of drug abuse?

1. Yes
2. No

Have you lost a job because of drug abuse?

1. Yes
2. No

Have you gotten into fights when under the influence of drugs?

1. Yes
2. No

Have you engaged in illegal activities in order to obtain drugs?

1. Yes
2. No

Have you been arrested for possession of illegal drugs?

1. Yes
2. No

Have you ever experienced withdrawal symptoms when you stop taking drugs?

1. Yes
2. No

Have you had medical problems as a result of drug use (e.g. memory loss, hepatitis, convulsions, bleeding etc)?

1. Yes
2. No

Have you gone to anyone for help for a drug problem?

1. Yes
2. No

Have you been involved in a treatment program specifically related to drug use?

1. Yes
2. No

Questionnaires Similar to Drug Use Questionnaire

• Adolescent Drug Use Questionnaire
• Drug Use Screening Questionnaire
• Drug Abuse Screening Test (DAST)
• Drug Abuse Problem Profile (DAPP)
• Drug Abuse and Dependence Questionnaire (DADQ)
• Substance Abuse Subtle Screening Inventory (SASSI)

Here are some FAQs and additional information
on Drug Use Questionnaire

What is a Drug Use Questionnaire?

A Drug Use Questionnaire (DUQ) is a survey designed to assess a person's use of drugs and alcohol. It typically includes questions about current and past drug and alcohol use, as well as questions about any adverse effects experienced as a result of drug use.

What is the purpose of a Drug Use Questionnaire?

The purpose of a Drug Use Questionnaire is to assess a person's drug and alcohol use and help determine if they are at risk of developing a substance use disorder.

Are the answers to a Drug Use Questionnaire confidential?

Yes, all answers to a Drug Use Questionnaire are kept confidential and can only be seen by the person taking the survey and their healthcare provider.

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