Drug Audit Tool

In the past 12 months, have you used drugs other than those you have been prescribed or obtained over-the-counter e.g. a pharmacy?(Required)

No

Yes

Have you used more than one drug at a time? (Within the last 12 months.)(Required)

No

Yes

Have you always been able to stop using drugs when you want to? (Within the last 12 months.)(Required)

No

Yes

Have you had 'blackouts' or 'flashbacks' as a result of drug use? (Within the last 12 months.)(Required)

No

Yes

Do you ever feel bad or guilty about your drug use? (Within the last 12 months.)(Required)

No

Yes

Has your partner (or parents/carers/friends/family) ever complained about your involvement with drugs? (Within the last 12 months.)(Required)

No

Yes

Have you neglected your family because of your use of drugs? (Within the last 12 months.)(Required)

No

Yes

Have you engaged in illegal activities in order to obtain drugs? (Within the last 12 months.)(Required)

No

Yes

Have you experienced withdrawal symptoms (felt sick) when you stopped using drugs? (Within the last 12 months.)(Required)

No

Yes

Have you had medical problems as a result of your drug use e.g. memory loss, hepatitis, convulsions, bleeding etc. (Within the last 12 months.)(Required)

No

Yes

Which area do you live in?(Required)

Sign up to our newsletter