Adult Drug Risk Assessment
The following questions concern information about your possible involvement with drugs (not including alcoholic beverages) during the past 12 months. Carefully read each statement and decide if your answer is “Yes” or “No”. Then, mark the appropriate response beside the question. In the statements “drug abuse” refers to 1) the use of prescribed or over the counter drugs in excess of the directions and 2) any non-medical use of drugs. The various classes of drugs may include: cannabis, (marijuana, hashish), 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 alcoholic beverages. Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right. These questions refer to the last 12 months.
Please provide some basic information before answering the questionnaire.
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