Dual Diagnosis or Co-Occurring Disorder Quiz Dual Diagnosis or Co-Occurring Disorder Quiz Fill out the quiz below to get an assessment if you or someone you care about is suffering Name Email Phone Check box if you'd like to be contacted? Has a medical doctor given you a diagnosis for anxiety in the last 6-12 months? Yes No None Have you been taking medications for anxiety, depression, bipolar disorder, or Post Traumatic Stress Disorder? Yes No None Have you been given a diagnosis of depression recently or been taking antidepressants? Yes No None Has a medical doctor ever diagnosed you with bipolar disorder or (PTSD) Post Traumatic Stress Disorder? Yes No None Do you sleep more than 9 hours a night because there's no real reason to get up in the morning? Yes No None Is it difficult for you to focus on whatever you have to do at work or at home? Yes No None Are you an excessive worrier? Yes No None Are you afraid you will have a panic attack suddenly or plan your schedule to avoid situations where it would be embarrassing if you had a panic attack? Yes No None Have you ever been sexually abused, or witnessed violence or death of someone close to you? Yes No None Does your mind often flashback to a very stressful incident you had in life? Yes No None Are there times when you vomit after eating a large meal? Yes No None Are there 'rituals' you have to do every day; otherwise, things are not right in life? Yes No None Do you entertain thoughts of committing suicide? Yes No None Do you have a phobia such as a fear of leaving your house, people, crowds, flying, animals, snakes, bridges, or other things, which prevent you from doing certain activities or going places? Yes No None Do you feel it's important to wash your hands more than 5 times a day? Yes No None Do you have huge mood swings during the day? Yes No None Have you ever been diagnosed with anorexia or bulimia? Yes No None Have you been told by family, friends or doctors you are too skinny and need to put weight on? Yes No None Time's up Drew Powell Alcoholism Quiz Marijuana Addiction Quiz
