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Do you ever use drugs for something other than a medical reason?
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When you use drugs, do you use more than one drug at a time?
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Is your drug use more than one day per week?
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Do you have a history of abusing prescription drugs?
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Have you attempted to quit your drug use but been unsuccessful?
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Does your drug use cause feelings of guilt?
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Has your drug use ended relationships with friends?
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Do you find yourself neglecting your family because of your drug use?
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Has your drug use resulted in problems between you and your family members or friends?
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Do your family members or friends ever complain about your drug use?
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While under the influence of drugs, have you gotten into confrontations or fights with others?
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Has your drug use ever contributed to you losing a job?
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Has your drug use caused problems or gotten you into trouble at your workplace?
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Have you ever gone to jail or been arrested for illegal drug possession?
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Do you participate in illegal activities in order to get your drugs of choice?
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When you stop taking your drug, do you experience any withdrawal symptoms or feel sick?
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Has your drug use ever resulted in flashbacks or blackouts?
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Have you ever had medical problems such as memory loss, hepatitis, convulsions, bleeding, etc. as a result of your drug use?
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Have you seeked help for your drug problem in the past?
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Have you participated in any treatment programs, either inpatient or outpatient, related to your drug use?