- Have you ever felt the need to cut down on your alcohol or drug use?
- Have you ever had a complete loss of memory (said or done things that you cannot remember) while under the influence of alcohol or drugs?
- Do close relatives or friends ever worry or complain about your alcohol or drug use?
- Have you ever been unable to stop drinking or using drugs when you wanted to?
- Has your alcohol or drug use ever created problems between you and your parents, siblings, or friends?
- Do you ever drink or use drugs in the morning?
- Have you ever been told by a doctor, teacher, minister, or judge to stop drinking or using drugs?
- Have you ever been arrested, even for a few hours, because of behaviour while intoxicated on alcohol or drugs?
- Do you have unexplained periods of depression, nervousness, or anxiety, or difficulty with sleep?
- Have you used either alcohol or drugs in the last week?
- Have you been evasive or have you lied about the amount of drugs or alcohol you use to your friends?
- Does your mom, brother, sister, or anyone else in your close family have a problem with alcohol or other drugs?
- Have you ever taken alcohol or drugs to school, or used alcohol or drugs at school?
- Have you ever made a promise to yourself or others that you would not drink or use drugs at school?
- Do you wonder if alcohol or drug use is making it difficult for you to do your best at school, sports, hobbies, a job, or extracurricular activities?
- Do you hide your alcohol, joints , or pills so that you will have a supply when your source is not available?
- Have you ever skipped school, or left school to use alcohol or drugs with friends or alone?
- Have you ever been involved in a car accident, either as a passenger or driver, where alcohol or drugs were involved or have you been charged or investigated for driving while impaired?
- Are you spending more time alone because of your alcohol and drugs?
- Have alcohol or drugs affected your sexual activity or desire?
- Have you noticed that you sometimes think of using alcohol or drugs at inappropriate times (that is daydream or obsess about using)?
- When people talk to you about your alcohol or drug use, do you feel angry, guilty, or uncomfortable?
- Have you ever neglected your obligations and responsibilities to school, work, friends, or your family because of drinking or using?
- Have you ever been in the hospital, an emergency room, or sent to the doctor for an alcohol or drug problem?
- Have you ever used alcohol or drugs when you were alone
