Questionnaires

Do you have an alcohol problem?

Cage Questionnaire (Mayfield, D., 1974) 

These questions refer to the past 12 months.

  1. Have you ever felt you ought to cut down on your drinking?
  2. Have people annoyed you by criticizing your drinking?
  3. Have you ever felt or bad or guilty about your drinking?
  4. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?

Two or more affirmative answers indicate alcohol dependence or abuse.

 

Do you have a drug problem?

D.A.S.T.-20 Questionnaire (Skinner, 1982)

These questions refer to the past 12 months.

  1. Have you used drugs other than those required for medical reasons?
  2. Have you abused prescription drugs?
  3. Do you abuse more than one drug at a time?
  4. Can you get through the week without using drugs?
  5. Are you always able to stop using drugs when you want to?
  6. Have you had "blackouts" or "flashbacks" as a result of drug use?
  7. Do you ever feel bad or guilty about your drug use?
  8. Does your spouse (or parents) ever complain about your involvement with drugs?
  9. Has drug abuse created problems between you and your spouse or your parents?
  10. Have you lost friends because of your use of drugs?
  11. Have you neglected your family because of your use of drugs?
  12. Have you been in trouble at work because of drug abuse?
  13. Have you lost a job because of drug abuse?
  14. Have you gotten into fights when under the influence of drugs?
  15. Have you engaged in illegal activities in order to obtain drugs?
  16. Have you been arrested for possession of illegal drugs?
  17. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?
  18. Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding, etc.)?
  19. Have you gone to anyone for help for a drug problem?
  20. Have you been involved in a treatment program specifically related to drug use?

Score: Number of positive responses

0 No drug problem
1-5 Low drug problem
6-10 Moderate drug problem
11-15 High drug problem
16-20 Severe drug problem