Skip survey header

DAST encrypted - copy for E Lancs

Page One

This is a secure service and your data is protected by encryption. The quiz does not require you to enter any personal details. The form is provided by a third-party website and this website will record your IP address. Inspire cannot access this information. If you are not happy with this, please exit the page and do not continue with the quiz.

Remember that these questions do not apply to alcohol or tobacco. If you would like to assess how much you drink, please take our alcohol self-assessment quiz. For advice on stopping smoking, click here.

If you're not sure about an answer, please choose the most appropriate option.

These questions refer to the past 12 months.
1. Have you used drugs other than those required for medical reasons? *This question is required.
This self-assessment quiz is aimed at people who use drugs that are not intended for medical purposes.

If you would like to assess your drinking levels, please take our alcohol self-assessment quiz. If you have any concerns about drug use please speak to your GP.

If you would like general information around drugs please visit the talktofrank website
2. Do you use more than one drug at a time?  *This question is required.
3. Are you always able to stop using drugs when you want to?  *This question is required.
4. Have you had "blackouts" or "flashbacks" as a result of drug use? *This question is required.
5. Do you ever feel bad or guilty about your drug use?  *This question is required.
6. Does your spouse (or parents) ever complain about your involvement with drugs? *This question is required.
7. Have you neglected your family because of your use of drugs? *This question is required.
8. Have you engaged in illegal activities in order to obtain drugs? *This question is required.
9. Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs? *This question is required.
10. Have you had medical problems as a result of your drug use?
This includes memory loss, convulsions, bleeding and blood borne viruses like hepatitis. *This question is required.