Opioid Addiction Quiz - Valiant Living Mens Recovery Program

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Opioid Addiction Quiz

Taking an opioid addiction quiz is an important step to understanding if you or a loved one are struggling with opioid addiction. An opioid addiction quiz can help you assess the risk of developing an addiction and may even reveal signs that have been overlooked.

Fill Out Information Below

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

None

Do you have friends that are opioid or drug users?

Yes

No

None

Do you notice you need higher amounts of opioids to get the same effect?

Yes

No

None

When you try to cut back on your opioid use, are you unsuccessful?

Yes

No

None

Do you have cravings to use opioids?

Yes

No

None

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

None

Have you done anything illegal to obtain opioids or while using opioids?

Yes

No

None

Have you ever been arrested for drug possession?

Yes

No

None

Do you spend a big part of your budget on opiods and/or other drugs?

Yes

No

None

Do you borrow money from family and friends to purchase opioids?

Yes

No

None

In the past few months, have you noticed a decline in your physical or mental health?

Yes

No

None

Do you notice physical withdrawal symptoms when you don't use the drug for a period of time?

Yes

No

None

Are you forgetting appointments, names, phone numbers, and why you walk into a room in your house?

Yes

No

None

Have you been on opioid pain medications in the past year or two?

Yes

No

None

Have you been told by your doctor you have kidney or heart problems?

Yes

No

None

Do you have long periods of time where you don't eat meals?

Yes

No

None

Do you often wear long-sleeved shirts during the summer months?

Yes

No

None

Has your personal hygiene gone downhill in the last few months?

Yes

No

None

Do you often experience nausea, vomiting or itching?

Yes

No

None

Are your sleep cycles out of sync - you're up at night but sleep during the day?

Yes

No

None

Have you recently lost your job or an important relationship because of using opioids?

Yes

No

None

Have you noticed that a lot of the things you liked doing in the past are no longer important to you?

Yes

No

None

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About Us
Our Approach
Admissions
Resources
Detox ↗

About Us
Our Approach
Admissions
- FAQ’s
Resources
Detox ↗