April 5, 2024

ADDICTION TEST

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SEX
Please note: All fields are required. When thinking about drug use, include illegal drug use and the use of prescription drugs other than as prescribed.

1. Have you ever felt that you ought to cut down on your drinking or drug use?

2. Have people annoyed you by criticizing your drinking or drug use?

3. Have you ever felt bad or guilty about your drinking or drug use?

4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover?

5. What substance or addiction are you concerned about? Select all that apply

Source:

CAGE-AID Questionnaire

Brown & Rounds. (1995). Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wisconsin Medical Journal 94(3), pp. 135-140.

Please note: This screen is validated for both adults and youth between the ages of 12 and 18. By using this screen, you acknowledge that the screen is not a diagnostic instrument and is only to be used by you if you are 12 years or older. You are encouraged to share your results with a physician or healthcare provider. World Mental Resilience Programs disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of these screens.