Zung Self Rating Depression Test For each question in test, please choose the option which best describes how often you felt or behaved this way during the past several days. Name Email Phone City Do you try to limit your drug use to certain situations?YesNoHave you ever been arrested for driving while under the influence of drugs?YesNoDoes your spouse (or parents) ever complain about your involvement with drugs?YesNoHave you ever been in trouble at work because of drug abuse?YesNoAre you always able to stop using drugs when you want to?YesNoHave you ever lost friends because of your use of drugs?YesNoDo you ever feel bad about your drug abuse?YesNoDo you abuse more than one drug at a time?YesNoHas any family member ever sought help for problems related to your drug use?YesNoHave you ever lost a job because of drug abuse?YesNoHave you used drugs other than those required for medical reasons?YesNoHas drug abuse ever created problems between you and your spouse?YesNoGood part of the timeMost of the timeHave you gotten into fights when under the influence of drugs?YesNoHave you ever been arrested because of unusual behavior while under the influence of drugs?YesNoCan you get through the week without using drugs(other than those required for medical reasons)?YesNoHave you had “blackouts” or “flashbacks” as a result of drug use?YesNoHave you ever neglected your family or missed work because of your use of drugs?YesNoDo your friends or relatives know or suspect you abuse drugs?YesNoDo you abuse drugs on a continuous basis?YesNoHave you abused prescription drugs?YesNo21 out of 20Time is Up!Time's up
