Anxiety Test Make sure you base your answers on how you actually behave in your daily life, not on how you would like to be Name Email Phone City Have you had “blackouts” or “flashbacks” as a result of drug use?YesNoDo you abuse drugs on a continuous basis?YesNoHave you used drugs other than those required for medical reasons?YesNoAre you always able to stop using drugs when you want to?YesNoDoes your spouse (or parents) ever complain about your involvement with drugs?YesNoDo you ever feel bad about your drug abuse?YesNoCan you get through the week without using drugs(other than those required for medical reasons)?YesNoDo you try to limit your drug use to certain situations?YesNoDo you abuse more than one drug at a time?YesNoHave you abused prescription drugs?YesNo11 out of 10Time is Up!Time's up
