Drugs and alcohol self assessment questionnaire.

Are you at risk? Complete the self-assessment and find out for yourself...

You can also download a printable version of this drugs and alcohol self-assessment tool or as a word document which you can edit and reuse.

Substance means any drug not prescribed by a doctor, including: alcohol; cocaine; ecstasy; crack; LSD; amphetamines; ketamine; solvents (gas/glues); heroin; poppers; tranquillisers/anti-depressants or legal/herbal highs.

  • Regularly means: three or more days a week.
  • Occasionally means: a few times each month.
  • Rarely means: less than once a month.

Note, for your privacy we don't collect or save any of this information.

QuestionRegularlyOccasionallyRarelyNever
Do you use substances or alcohol?
Do you use substances because you are unhappy or because it helps you to cope?
Does using substances make it hard for you to get on with other people?
Do you spend more on substances than you can afford?
Do you use heroin, crack or solvents?
Do you inject any substance?
Do you use cocaine or other stimulants/uppers?
Do you use more than one substance at a time?
Do you use substances when you are alone?
Do you get so ‘off your head’ (drunk, stoned, mashed) that you do not know what you are doing?
Does using substances affect your ability to cope with school or work?
Does your substance use ever lead you into crime, antisocial behaviour or violence?
Do you feel 'stressed out' if you try to stop or cut down?
Do you worry about using substances?
Do other people such as family and friends worry about you using substances?
Have you had unplanned sex while under the influence of substances?

Your interpretation is below:

Please make sure you answer all questions. Questions above in red are unanswered

Need to know:

  1. Using any substance or alcohol can cause you problems if you do not know how the drug will affect you.
  2. Injecting any substance can make you dependent, increases the risk of overdose and can put you at risk of viruses carried in the blood such as hepatitis and HIV. If you are injecting get advice about how to inject safely
  3. Mixing substances is dangerous and can make you feel unwell or cause you to overdose. Mixing alcohol and cocaine produces a dangerous substance that can damage your liver and heart.
  4. Using substances when you are alone can mean that you are becoming dependent on the substance.
  5. Using substances when you are unhappy may seem helpful but it will only make matters worse. You cannot deal with problems when you are ‘off your face’. You may need to talk to someone.
  6. If substance use is affecting your school or home life, costs too much, gets you into trouble with the police, or makes you lose your friends, you need to think carefully about whether this is the life you want? Would you be better off stopping or cutting down your substance use?

Substance Misuse

Young People

Guide to Substance Misuse

Drugs Questionnaire

Drugs Quiz

Parents and Carers

Guide to Substance Misuse

Practitioners

Substance Misuse Strategy and useful documents

Hiwecanhelp

Are drugs having a negative affect on your loved ones? Visit the Hiwecanhelp website to talk about drugs in confidence with people in the same situation and find the information you need as quickly and easily as possible

Lifeline, York

Offer support to young people up to age 19 who have concerns about substance misuse.

You can get advice, information and help by phoning us on 01904 464680.

Talk to Frank

You can also contact the FRANK helpline on: Freephone 0800 776600