Substance Abuse
Have you been using a substance in larger amounts or for a longer period of time than intended?
Yes
No
Substance Abuse
Have you been experiencing cravings or a strong desire to use a substance?
Yes
No
Substance Abuse
Have you been unable to cut down or control your substance use?
Yes
No
Substance Abuse
Have you been spending a lot of time using a substance or recovering from its effects?
Yes
No
Substance Abuse
Have you been giving up important activities in order to use a substance?
Yes
No
Substance Abuse
Have you been continuing to use a substance despite negative consequences, such as problems with relationships or at work?
Yes
No
Substance Abuse
Have you been using a substance in situations where it is physically hazardous?
Yes
No
Substance Abuse
Have you been experiencing withdrawal symptoms when you try to stop using a substance?
Yes
No
Substance Abuse
Have you been using a substance to relieve or avoid withdrawal symptoms?
Yes
No
Substance Abuse
Have you been developing a tolerance to the substance, needing more to achieve the same effect?
Yes
No
Substance Abuse
Have you been experiencing physical or psychological problems related to your substance use?
Yes
No
Substance Abuse
Have you been experiencing problems with your memory or concentration?
Yes
No
Substance Abuse
Have you been experiencing changes in your sleep patterns?
Yes
No
Substance Abuse
Have you been experiencing changes in your appetite or weight?
Yes
No
Substance Abuse
Have you been experiencing changes in your mood or behavior?
Yes
No
Substance Abuse
Have you been experiencing physical symptoms such as tremors or seizures?
Yes
No
Substance Abuse
Have you been experiencing problems in your relationships as a result of your substance use?
Yes
No
Substance Abuse
Have you been having severe mood swings?
Yes
No
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