DOEP Drug Screen

"*" indicates required fields

Consider only the last 12 months when answering these questions.
Name*
1. Did you use larger amounts of drugs or use them for a longer time than you planned or intended?*
2. Did you try to cut down on your drug use but were unable to do it?*
3. Did you spend a lot of time getting drugs, using them, or recovering from their use?*
4. Did you get so high or sick from drugs that it kept you from doing work, going to school, or caring for children?*
5. Did you get so high or sick from drugs that it caused an accident or put you or others in danger?*
6. Did you spend less time at work, school, or with friends so that you could use drugs?*
7. Did your drug use cause emotional or psychological problems?*
8. Did your drug use cause problems with family, friends, work, or police?*
9. Did your drug use cause physical health or medical problems?*
10. Did you increase the amount of a drug you were taking so that you could get the same effects as before?*
11. Did you ever keep taking a drug to avoid withdrawal symptoms or keep from getting sick?*
12. Did you get sick or have withdrawal symptoms when you quit or missed taking a drug?*
Hidden
Do not use 13. Which drug caused the most serious problem?*
13. Which drug caused the most serious problem?*
Hidden
MM slash DD slash YYYY