Self Assessment

Drug Abuse Screening Test (DAST)

Have you used drugs other than those required for medical reasons?

Yes No

Have you misused prescription drugs?

Yes No

Do you misuse more than one drug at at time?

Yes No

Can you get through the week without using drugs (other than those required for medical reasons)?

Yes No

Are you always able to stop using drugs when you want to?

Yes No

Do you misuse drugs on a continuous basis?

Yes No

Do you try to limit your drug use to certain situations?

Yes No

Have you had "blackouts" or "flashbacks" as a result of drug use?

Yes No

Do you ever feel bad about your drug misuse?

Yes No

Does your spouse (or parents) ever complain about your involvement with drugs?

Yes No

Do your friends or relatives know or suspect you misuse drugs?

Yes No

Has drug misuse ever created problems between you and your spouse?

Yes No

Has any family member ever sought help for problems related to your drug use?

Yes No

Have you ever:

Lost friends because of your use of drugs?

Yes No

Neglected your family or missed work because of your use of drugs?

Yes No

Been in trouble at work because of drug misuse?

Yes No

Lost a job because of drug misuse?

Yes No

Gotten into fights when under the influence of drugs?

Yes No

Been arrested because of unusual behavior while under the influence of drugs?

Yes No

Been arrested for driving while under the influence of drugs?

Yes No

Engaged in illegal activities to obtain drugs?

Yes No

Been arrested for possession of illegal drugs?

Yes No

Experienced withdrawal symptons as a result of heavy drug intake?

Yes No

Had medical problems as a result of your drug use (eg, memory loss, hepatitis, convulsions, or bleeding)?

Yes No

Gone to anyone for help for a drug problem?

Yes No

Been in a hospital for medical problems related to your drug use?

Yes No

Been involved in a treatment program specifically related to drug use?

Yes No

Been treated as an outpatient for problems related to drug dependence or misuse?

Yes No
Score: /28

Institute of Addiction Medicine, Inc.

350 Sentry Parkway Building 640 Suite 300
Blue Bell, PA 19422