1. Do you ever use alone?
2. Have you ever substituted one drug for another, thinking that one particular drug was the problem?
3. Have you ever manipulated or lied to a doctor to obtain prescription drugs?
4. Have you ever stolen drugs or stolen to obtain drugs?
5. Do you regularly use a drug when you wake up or before going to bed?
6. Have you ever used a drug to counteract the effects of another?
7. Do you avoid people who do not approve of you using drugs?
8. Have you ever used a substance without knowing what it was or what effects it had?
9. Has your drug use negatively affected your performance at work or at school?
10. Have you ever been arrested for using drugs?
11. Have you ever lied about the kind of drugs you use or the amount you use?
12. Do you put the purchase of drugs ahead of your financial responsibilities?
13. Have you ever tried to stop or control your drug use?
14. Have you been in jail, hospital or a rehabilitation centre because of drugs?
15. Does your drug use alter your eating or sleeping habits?
16. Do you dread the thought of being without drugs?
17. Do you think that it is impossible for you to live without drugs?
18. Do you ever question your own judgement?
19. Does your drug use create conflicts at home?
20. Have you ever thought that without drugs you can’t fit in, or that you wouldn’t be able to enjoy yourself?
21. Have you ever become defensive or felt guilty or ashamed about your drug use?
22. Do you think about drugs a lot?
23. Do you have irrational or undefined fears?
24. Has your drug use affected your sexual relationships?
25. Have you used other drugs apart from your favourite ones?
26. Have you ever used drugs because of emotional problems or stress?
27. Have you ever suffered an overdose?
28. Do you continue to use despite the negative consequences?
29. Do you think you might have a drug problem?
2. Have you ever substituted one drug for another, thinking that one particular drug was the problem?
3. Have you ever manipulated or lied to a doctor to obtain prescription drugs?
4. Have you ever stolen drugs or stolen to obtain drugs?
5. Do you regularly use a drug when you wake up or before going to bed?
6. Have you ever used a drug to counteract the effects of another?
7. Do you avoid people who do not approve of you using drugs?
8. Have you ever used a substance without knowing what it was or what effects it had?
9. Has your drug use negatively affected your performance at work or at school?
10. Have you ever been arrested for using drugs?
11. Have you ever lied about the kind of drugs you use or the amount you use?
12. Do you put the purchase of drugs ahead of your financial responsibilities?
13. Have you ever tried to stop or control your drug use?
14. Have you been in jail, hospital or a rehabilitation centre because of drugs?
15. Does your drug use alter your eating or sleeping habits?
16. Do you dread the thought of being without drugs?
17. Do you think that it is impossible for you to live without drugs?
18. Do you ever question your own judgement?
19. Does your drug use create conflicts at home?
20. Have you ever thought that without drugs you can’t fit in, or that you wouldn’t be able to enjoy yourself?
21. Have you ever become defensive or felt guilty or ashamed about your drug use?
22. Do you think about drugs a lot?
23. Do you have irrational or undefined fears?
24. Has your drug use affected your sexual relationships?
25. Have you used other drugs apart from your favourite ones?
26. Have you ever used drugs because of emotional problems or stress?
27. Have you ever suffered an overdose?
28. Do you continue to use despite the negative consequences?
29. Do you think you might have a drug problem?
Source: Narcotics Anonymous, Copyright © 1989, 2000 by Narcotics Anonymous World Services, Inc.