Risk Assessment

Assess Your Drug Use and Related Consequences

DAST-10 Questionnaire

The following questions ask information about your use of drugs excluding alcohol and tobacco during the past 12 months. Carefully read each question and decide if your answer is "No" or "Yes". Then, fill in the appropriate box beside the question.

When the words "drug abuse" are used, they mean the use of prescribed or over-the-counter in excess of the directions and any non-medical use of drugs. The various classes of drugs may include: cannabis (e.g., marijuana, hash), 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 alcohol or tobacco.

Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right.

These questions refer to the past 12 months

1. Have you used drugs other than those required for medical reasons?

2. Do you abuse more than one drug at a time?

3. Are you always able to stop using drugs when you want to?

4. Have you had "blackouts" or "flashbacks" as a result of drug use?

5. Do you ever feel bad or guilty about your drug use?

6. Does your spouse (or parents) ever complain about your involvement with drugs?

7. Have you neglected your family because of your use of drugs?

8. Have you engaged in illegal activities in order to obtain drugs?

9. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?

10. Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding, etc.)?

Your DAST Score:

DAST-10 scores help people evaluate their drug use. Your DAST score shows whether you should be concerned about your drug use. Higher scores typically reflect more serious concerns.

SCORE	RELATED TO DRUG ABUSE
0	No Problem
1-2	Low Level
3-5	Moderate Level
6-8	High Level
9-10	Very High Level

If you scored in the Moderate, High, or Very High Level (3 or more) you may want to speak to a professional for further screening.

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Jessica J. Ruiz, PsyD, ABAP | Clinic Director

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(954) 262-5922

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Davie, FL, 33314

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