Substance Use Self Assessment Quiz

Please consider the following which sometimes occur after a traumatic event. This questionnaire is concerned with your personal reactions to the traumatic event which happened to you. Please indicate (Yes/No) whether or not you have experienced any of the following at least twice in the past week.
  • MM slash DD slash YYYY
  • Other indicators of being over stressed or approaching burnout for me are:
  • If you have answered "Yes" to any of these questions, you may have an alcohol or drug problem.

    One “YES” answer: BE AWARE. You may have or you may develop a problem with alcohol or other drugs.

    Two or more “YES” answers: Indicates you have problems with alcohol and/or drugs and should seek help immediately.

    If you believe that you have or that you may have a problem with alcohol or other drugs, we can help. Learn more about our drug and alcohol rehabilitation programs.
  • Warning!
    If you answered yes to 2 or more questions you are encouraged to consider whether you think that some counselling support may be beneficial in helping you.
  • Source:
  • This field is for validation purposes and should be left unchanged.