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Assessment Tools

Substance Abuse

EAP Substance Abuse Survey

 

1. When there is stress do you drink or use substances more than usual?
Much of the time A lot of the time Some of the time never

2. Do you look for reasons to get drunk or high?
Much of the time A lot of the time Some of the time never

3. Are you likely to drink or get high after an argument with someone close to you?
Much of the time A lot of the time Some of the time never

4. Do you regret things you said or did while drunk or high?
Much of the time A lot of the time Some of the time never

5. Do you need alcohol or substances to have a good time?
Much of the time A lot of the time Some of the time never

6. Are you annoyed when friends or relatives bring up the subject of your substance use ?
Much of the time A lot of the time Some of the time never

7. Do you think about cutting back but never get around to it?
Much of the time A lot of the time Some of the time never

8. Has your tolerance changed? e.g., does it take more alcohol now to feel the “buzz”?
Much of the time A lot of the time Some of the time never

9. Do you have financial difficulties as a result of your substance use?
Much of the time A lot of the time Some of the time never

10. Is it difficult to get through the day without drinking or using?
Much of the time A lot of the time Some of the time never

11. Is substance use a large part of your social life?
Much of the time A lot of the time Some of the time never

12. Do you rationalize your substance use by thinking that it is no different than the people around you?
Much of the time A lot of the time Some of the time never

13. Do you use as a way to forget or to become numb?
Much of the time A lot of the time Some of the time never

14. Is work affected by your substance use?
Much of the time A lot of the time Some of the time never

15. Do you start the day by drinking or using?
Much of the time A lot of the time Some of the time never