Opioid Addiction Quiz Opioid Addiction 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? Do you base your daily schedule on your opioid habit? Yes No Do you have friends that are opioid or drug users? Yes No Do you notice you need higher amounts of opioids to get the same effect? Yes No When you try to cut back on your opioid use, are you unsuccessful? Yes No Do you have cravings to use opioids? Yes No At a party, do you find you end up using more opioids than you planned and stay longer so you can use more opioids? Yes No Have you done anything illegal to obtain opioids or while using opioids? Yes No Have you ever been arrested for drug possession? Yes No Do you spend a big part of your budget on opiods and/or other drugs? Yes No Do you borrow money from family and friends to purchase opioids? Yes No In the past few months, have you noticed a decline in your physical or mental health? Yes No Do you notice physical withdrawal symptoms when you don't use the drug for a period of time? Yes No Are you forgetting appointments, names, phone numbers, and why you walk into a room in your house? Yes No Have you been on opioid pain medications in the past year or two? Yes No Have you been told by your doctor you have kidney or heart problems? Yes No Do you have long periods of time where you don't eat meals? Yes No Do you often wear long-sleeved shirts during the summer months? Yes No Has your personal hygiene gone downhill in the last few months? Yes No Do you often experience nausea, vomiting or itching? Yes No Are your sleep cycles out of sync - you're up at night but sleep during the day? Yes No Have you recently lost your job or an important relationship because of using opioids? Yes No Have you noticed that a lot of the things you liked doing in the past are no longer important to you? Yes No Time's up Victoria Marijuana Addiction Quiz Online Pornography Addiction Quiz
