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Questionnaire

The Drug Abuse Screening Test (DAST-10) is a 10-item brief screening tool that can be administered by a clinician or self-administered. Each question requires a yes or no response, and the tool can be completed in less than 8 minutes. This tool assesses drug use, not including alcohol or tobacco use, in the past 12 months.

DAST‐10 Questionnaire I’m going to read you a list of questions concerning information about your potential involvement with drugs, excluding alcohol and tobacco, during the past 12 months. When the words “drug abuse” are used, they mean the use of prescribed or over‐the‐counter medications/drugs in excess of the directions and any non‐medical use of drugs. The various classes of drugs may include: cannabis (e.g., marijuana, hash), solvents, tranquilizers (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 alcohol or tobacco. If you have difficulty with a statement, then choose the response that is mostly right. You may choose to answer or not answer any of the questions in this section.

Have you…

  used drugs other than those needed for medical reasons?

  ever had blackouts or flashbacks as a result of drug use?

  ever felt that you should cut down on your drug use?

  felt bad or guilt about your drug use?

  been criticized by significant people in your life about your drug use?

  neglected your family because of your use of drugs?

  engaged in illegal activities in order to obtain drugs?

  ever felt sick when you stopped taking drugs?

  had to use drugs to stop withdrawal symptoms?

  had medical problems as a result of your drug use?

If you’ve answered yes to one or more of these questions then HELP is here for you.