The Drug Abuse Screening Test (DAST)

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1) Have you used drugs other than those required for medical reason
YesNo

2) Have you abused prescription drugs?
YesNo

3) Do you abuse more than one drug at a time?
YesNo

4) Can you get through the week without using drugs?
YesNo

5) Are you always able to stop using drugs when you want to?
YesNo

6) Do you abuse drugs on a continuous basis?
YesNo

7) Do you try to limit your drug use to certain situations?
YesNo

8) Have you ever felt bad about your drug use?
YesNo

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

10) Have you had 'blackouts' or 'flashbacks' as a result of drug use?
YesNo

11) Have you neglected your family because of your use of drugs?
YesNo

12) Has drug abuse created problems between you and your spouse or your parents?
YesNo

13) Has any family member ever sought help for problems related to drug use?
YesNo

14) Have you lost friends because of your use of drugs?
YesNo

15) Have you ever neglected your family or missed work because of your use?
YesNo

16) Have you been in trouble at work because of your use of drugs?
YesNo

17) Have you lost a job because of drug abuse?
YesNo

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

19) Have you ever been arrested because of unusual behavior while under the influence of drugs?
YesNo

20) Have you ever been arrested for driving while under the influence of a drug?
YesNo

21) Have you engaged in illegal activities in order to obtain drugs?
YesNo

22) Have you been arrested for possession of illegal drugs?
YesNo

23) Have you ever experienced withdrawal symptoms as a result of heavy drug use?
YesNo

24) Have you had medical problems as a result of your drug use?(e.g. memor hepatitus, convulsions, bleeding, ect.)
YesNo

25) Have you gone to anyone for help for a drug problem?
YesNo

26) Have you ever been in a hospital for medical problems related to drug use?
YesNo

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

YesNo

28) Have you been treated as an outpatient for problems related to drug use?
YesNo

29) Have you been treated as an outpatient for problems related to drug use?
YesNo


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