Addiction Test

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Substance / Behavior
Test Questions
Demographic Information

The Addiction Test is for people who are concerned about their use of alcohol, drugs, or other behaviors.

First, we need to know which substance or behavior you're concerned about. This will help us ask you the right questions.

If you’re concerned about multiple substances or behaviors, you can think of them all as part of the same pattern of addiction, or you can take the test once for each substance or behavior.

What substance or behavior are you most concerned about?*

Alcohol

Another drug or multiple drugs

Another behavior (gambling, self-harm, etc.)

Which of the following are you concerned about?*

Select all that apply.

Alcohol

Cannabis

Nicotine

Benzodiazepines (e.g. Xanax, Valium)

Cocaine / crack

Fentanyl

Heroin

Prescription Opioids (e.g. OxyContin, Percocet, Vicodin)

Stimulants (e.g. speed, meth, Adderall, Ritalin)

Self-harm

Other (e.g. gambling, sex, internet, shopping, food, etc.)

Other substance or addiction:*

This checklist will help you understand how using drugs might be affecting your health.

Please think about your life in the last 12 months. Then go through the questions below and answer "yes" or "'no" for each one.

This checklist will help you understand how alcohol might be affecting your health.

Please think about your life in the last 12 months. Then go through the questions below and answer "yes" or "'no" for each one.

This checklist will help you understand how addictive or compulsive behaviors might be affecting your health.

Please think about your life in the last 12 months. Then go through the questions below and answer "yes" or "'no" for each one.

Please note: This test is experimental for behaviors other than drug and alcohol use. Your responses will help us improve the test for other people like you.

In the last 12 months...

Did you have strong desires or cravings for the drug?*

Yes

Did you want to cut back or stop using the drug, but couldn't?*

Yes

Did you spend a lot of time trying to get the drug, using the drug, or recovering from using it?*

Yes

Did you have times when you used the drug more or for longer than you wanted to?*

Yes

Did using the same amount of the drug have less effect than it used to? Or did you have to use more to feel the effect you wanted?*

Please answer “yes” if either question is true for you.

Yes

Did you have withdrawal symptoms when you weren't using the drug? Or did you use the drug to avoid having these symptoms?*

Please answer “yes” if either question is true for you.

Yes

Did you continue to use the drug even though you thought it might be causing mental or physical problems — or making them worse?*

Yes

Did you use the drug even though you thought it might be causing problems with your family or other people?*

Yes

Did using the drug make it harder for you to keep up with your responsibilities at work, school, or home?*

Yes

Did you spend less time working, enjoying hobbies, or being with others because of your use of the drug?*

Yes

Did you do something dangerous more than once after using the drug — like drive a car or operate machinery?*

Yes

In the last 12 months...

Did you have strong desires or cravings for alcohol?*

Yes

Did you want to cut back or stop drinking, but couldn’t?*

Yes

Did you spend a lot of time getting alcohol, drinking, or feeling hungover?*

Yes

Did you have times when you drank more or for longer than you wanted to?*

Yes

Did drinking the same amount have less effect that it used to? Or did you have to drink more to feel the effect you wanted?*

Please answer “yes” if either question is true for you.

Yes

Did you have an upset stomach or get sweaty, shaky, or nervous when you weren’t drinking or when you tried to cut down? Did you drink alcohol or take something to help you feel better?*

Please answer “yes” if either question is true for you.

Yes

Did you continue to drink even though you thought it might be causing physical or mental problems — or making them worse?*

Yes

Did you drink alcohol even though you thought it might be causing problems with your family or other people?*

Yes

Did drinking make it harder for you to keep up with your responsibilities at work, school, or home?*

Yes

Did you spend less time working, enjoying hobbies, or being with others because of your drinking?*

Yes

Did you do dangerous things more than once after drinking — like drive a car or operate machinery?*

Yes

In the last 12 months...

Did you have strong desires or cravings for the behavior?*

Yes

Did you want to cut back or stop doing the behavior, but couldn't?*

Yes

Did you spend a lot of time preparing for the behavior, doing the behavior, or recovering from doing it?*

Yes

Did you have times when you did the behavior more or for longer than you wanted to?*

Yes

Did the behavior have less effect than it used to? Or did you have to do more to feel the effect you wanted?*

Please answer “yes” if either question is true for you.

Yes

Did you feel restless or irritable when you weren't doing the behavior? Or did you do the behavior to avoid feeling restless or irritable?*

Please answer “yes” if either question is true for you.

Yes

Did you continue the behavior even though you thought it might be causing mental or physical problems — or making them worse?*

Yes

Did you do the behavior even though you thought it might be causing problems with your family or other people?*

Yes

Did the behavior make it harder for you to keep up with your responsibilities at work, school, or home?*

Yes

Did you spend less time working, enjoying hobbies, or being with others because of the behavior?*

Yes

Did you end up in a risky situation more than once because of the behavior — like where you or someone else could be hurt/harmed?*

Yes

The following optional questions will help us understand the experiences of people struggling with behavioral concerns.

How often have you engaged in the behavior in the past 12 months?

More than once a day

More than once a week

More than once a month

Once a month or less

How strongly do you agree with this statement: "I believe I am addicted to this behavior."

Strongly Disagree

Disagree

Agree

Strongly Agree

Please take a moment to answer the following optional questions. Your answers are totally anonymous—we won't be able to identify you based on this information. Your answers help us provide better information and support for people like you.

You can answer as many or as few questions as you would like. When you are done, scroll to the bottom of the survey and click "submit" to receive your screening results.

What is the main thing you want to do after taking this mental health test? (Select one)

Take another mental health test

Understand what addiction is like (reading articles)

Understand and manage self-harm or suicidal thoughts

Tips for managing addiction (reading articles)

Learn and practice skills for how to manage addiction (try a free self-help tools)

Learn about what therapy/treatment is like (reading articles)

Find a treatment provider near you

Find a forum or support group for people with addiction

Other...

I don’t want to do anything

Next Steps - Other

Are you taking this test for yourself or for someone else?

For myself

For someone else

If you are taking this test for someone else, please use that person's information for the questions below, or leave them blank if you don't know the answer. Remember, these questions are optional.

About You

Age Range

Gender

Female

Male

Non-Binary

How would you describe your gender?

Please check this box if you identify as transgender.

Race/Ethnicity

Household Income

Do you live in the United States or another country?

I live in the United States

I live in another country

State

What country do you live in?

Zip/Postal Code

Which of the following populations describes you?

Select all that apply.

Veteran or active-duty military

Caregiver of someone living with emotional or physical illness

LGBTQ+

Student

Trauma survivor

New or expecting parent

Healthcare worker

Are you caring for someone with a mental or physical health condition?

Mental health condition

Physical health condition

Both mental and physical health conditions

Which of the following best describes your sexual orientation?

What is your sexual orientation?

Which of the following describe your experience of trauma?

Select all that apply.

Child abuse/violence

Intimate partner violence

Sexual assault/violence

Serious illness/injury/assault

Family conflict (identity acceptance/separation/divorce)

Traumatic event (natural disaster, accident, witnessing violence, etc.)

Death of a loved one

Other and/or tell us more about your trauma

Please tell us more about your experience of trauma:

About Your Mental Health

Have you ever received treatment/support for a mental health problem?

Yes

Are you receiving treatment/support now?

Yes

Think about your mental health test. What are the main things contributing to your mental health problems right now?

Choose up to 3.

Abuse or violence

Relationship problems (friends, family, or significant other)

Body image

Low self-esteem or self-image

School or work problems

Financial problems

Loneliness or isolation

Grief or loss of someone or something

Experiencing hate/bullying (including racism, homophobia, transphobia, or discrimination)

State of the world (war, climate, politics)

I don’t know (something just feels wrong)

Other...

What else is contributing to your mental health problems right now?

What about the state of the world is affecting you the most?

About Your Health

Do you currently have health insurance?

Yes

Do you have any of the following physical health conditions?

Select all that apply.

Heart disease

Reproductive health concerns (PCOS, endometriosis, infertility, etc.)

Diabetes

Cancer

Arthritis or other chronic pain

Asthma, COPD or other lung conditions

Movement Disorders (involuntary tics, tardive dyskinesia, etc.)

Digestive problems (Crohn’s, colitis, IBS, etc.)

Neurological conditions (epilepsy, etc.) or traumatic brain injury (TBI)

Other...

What other physical health conditions do you have?

Phone

This field is for validation purposes and should be left unchanged.

Source:

This screening tool combines 3 questionnaires designed to assess different types of addiction.

Substance Use Symptom Checklist (SUSC):

Matson, Hallgren, Lapham, et al. (2023). Psychometric Performance of a Substance Use Symptom Checklist to Help Clinicians Assess Substance Use Disorder in Primary Care. JAMA Network Open 6(5). Retrieved from https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2805323

Alcohol Symptom Checklist (ASC):

Hallgren, Matson, Oliver, et al. (2022). Practical Assessment of Alcohol Use Disorder in Routine Primary Care: Performance of an Alcohol Symptom Checklist. Journal of General Internal Medicine 37(8), pp. 1885-1893. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34398395/

Behavioral Addiction Symptom Checklist (BASC):

The BASC is an experimental questionnaire for assessing addictive and compulsive behaviors, based on the SUSC and ASC.

Please note: The ASC and SUSC are based on the DSM-V criteria for alcohol and other substance use disorders. By using this screener, you acknowledge that the screener is not a diagnostic instrument. You are encouraged to share your results with a physician, healthcare provider, or addiction specialist.

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Addiction Test

In the last 12 months...

In the last 12 months...

In the last 12 months...

About You

About Your Mental Health

About Your Health

Source: