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Take this brief quiz to see if you may have a problem with alcohol or other drug use, and if proven treatment like CBT for Substance Use Disorders may help you.Below are the results from this substance use symptom quiz. Read below to see if proven treatment for substance use may help you.

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Take this brief quiz to see if you may have a problem with alcohol or other drug use, and if proven treatment like CBT for Substance Use Disorders may help you.

Click the "Get Started" button to begin the questionnaire. To learn more about the questionnaire, click the link below.

Select an answer then click "Next" to advance to the next question. You can click "Back" to revisit a previous question.

Let's Check for Substance Use Symptoms

Use this brief screening tool to see if Cognitive Behavioral Therapy for Substance Use Disorders may be helpful to you. The questions that follow are about your use of alcohol and other drugs. Your responses to these questions will be anonymous, and no information will be collected, saved, or sent over the Internet. Mark the response that best fits you. Answer the questions in terms of your experiences in the past 6 months.

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About these questions

The questions you will be asked come from the “Simple Screening Instrument for Substance Abuse,” or “SSI-SA,” questionnaire for short. This is a proven tool for screening for alcohol and other drug use problems. This questionnaire does not provide a diagnosis. Only a health care or mental health care provider can diagnose an alcohol or other drug use condition.

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During the last 6 months… 1. Have you used alcohol or other drugs? (Such as wine, beer, hard liquor, pot, coke, heroin or other opiates, uppers, downers, hallucinogens, or inhalants)
During the last 6 months… 2. Have you felt that you use too much alcohol or other drugs?
During the last 6 months… 3. Have you tried to cut down or quit drinking or using alcohol or other drugs?
During the last 6 months… 4. Have you gone to anyone for help because of your drinking or drug use? (Such as Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, counselors, or a treatment program.)
During the last 6 months… 5. Have you had any health problems? For example, have you:
  • Had blackouts or other periods of memory loss?
  • Injured your head after drinking or using drugs?
  • Had convulsions, delirium tremens ("DTs")?
  • Had hepatitis or other liver problems?
  • Felt sick, shaky, or depressed when you stopped?
  • Felt "coke bugs" or a crawling feeling under the skin after you stopped using drugs?
  • Been injured after drinking or using?
  • Used needles to shoot drugs?
During the last 6 months… 6. Has drinking or other drug use caused problems between you and your family or friends?
During the last 6 months… 7. Has your drinking or other drug use caused problems at school or at work?
During the last 6 months… 8. Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.)
During the last 6 months… 9. Have you lost your temper or gotten into arguments or fights while drinking or using other drugs?
During the last 6 months… 10. Are you needing to drink or use drugs more and more to get the effect you want?
During the last 6 months… 11. Do you spend a lot of time thinking about or trying to get alcohol or other drugs?
During the last 6 months… 12. When drinking or using drugs, are you more likely to do something you wouldn't normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone?
During the last 6 months… 13. Do you feel bad or guilty about your drinking or drug use?
The next questions are about your lifetime experiences. 14. Have you ever had a drinking or other drug problem?
The next questions are about your lifetime experiences. 15. Have any of your family members ever had a drinking or drug problem?
The next questions are about your lifetime experiences. 16. Do you feel that you have a drinking or drug problem now?
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Summary of Your Results

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