Opiate Addiction Assessment

Have you ever went to an addiction recovery facility and gone through an opiate detox or an opiate rehab program?

Please answer each question honestly.

Have you failed at an opiate rehab or detox?

Please answer each question honestly.

Have you ever tried to stop on your own from using opiates but were unsuccessful?

Please answer each question honestly.

Have you ever had cravings for opiates so strong that you can't handle them?

Please answer each question honestly.

Is your health declining since you first started using opiates?

Please answer each question honestly.

Have you tried other drugs such as alcohol, meth, Xanax, or cocaine?

Please answer each question honestly.

Have you noticed that drugs are making you worse, yet you can't stop the usage?

Please answer each question honestly.

If stopped using opiates for a short period, do you notice symptoms such as abdominal pain, nausea, muscle aches, diarrhea, vomiting, or irritability?

Please answer each question honestly.

Do you see that you have to increase the dosage of opiates to get the same high from them?

Please answer each question honestly.

Have you spent higher amounts of money on purchasing opiates as time goes on?

Please answer each question honestly.

Have you spent a lot of time finding opiates to use, taking them, and then recovering from them?

Please answer each question honestly.

Do you ever have the idea that you'll do one hit of heroin or opiate and then stop?

Please answer each question honestly.

From right now till you first started using opiates, would you agree that you are using more now than before?

Please answer each question honestly.

Are there things you haven't done at home, work, or school because you've been so involved in using drugs?

Please answer each question honestly.

Are your relationships falling apart before your eyes, ever since you started using opiates?

Please answer each question honestly.

Are you not doing certain drug activities anymore because of using?

Please answer each question honestly.

Has there been times using opiates you put yourself and others in harm?

Please answer each question honestly.

Are there times when you want to return to your old life before using opiates?

Please answer each question honestly.