The following questions concern information about your potential involvement with drugs not including alcoholic beverages during the last 12 months. Carefully read each statement and decide if the your answer is “Yes” or “No” and select your answer. In the statements “drug abuse” refers to (i) the use of prescribed or over the counter drugs in excess of the directions and (ii) any non-medical use of drugs. The various classes of drugs may include: cannabis (e.g. marijuana, hash), solvents, tranquilisers (e.g. Valium), barbiturates, cocaine, stimulants (e.g. speed), hallucinogens (e.g. LSD) or narcotics (e.g. heroin). Remember that the questions do not include alcoholic beverages.
Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right.
Please note this questionnaire should NOT be taken by anyone who is currently under the influence of drugs, or who are undergoing a drug withdrawal reaction.
Credit for creating this test and copyright 1982 for Harvey A. Skinner, PhD Department of Public Health Sciences, University of Toronto and the Centre for Addiction and Mental Health, Toronto, Canada.