Addiction Self-Check Questionnaire: Assess Your Substance Use and Take the First Step Toward Recovery
Are you worried about your relationship with alcohol or drugs? This Addiction Self-Check Questionnaire is a simple, confidential tool designed to help you:
- Evaluate your substance use patterns.
- Spot potential signs of addiction.
- Take actionable steps toward recovery.
By answering the questions honestly, you can gain valuable insight into your habits and their impact on your life.
Why Take This Self-Assessment?
Substance use can harm your relationships, work, health, and emotional well-being. Additionally, this questionnaire helps you:
- Recognize patterns of substance use.
- Identify warning signs of addiction.
- Understand when to seek professional help.
Take a few minutes to reflect—it could be the first step toward a healthier, substance-free life.
Section 1: Substance Use Patterns
- Do you often use alcohol or drugs more than you planned?
- Have you tried to cut back or quit but struggled to do so?
- Do you turn to substances to cope with stress, anxiety, or emotional issues?
- Have you used substances in risky situations, such as driving or at work?
- Do you find yourself needing more of a substance to feel the same effect?
Section 2: Impact on Daily Life
- Has your substance use hurt your relationships with family, friends, or coworkers?
- Do you neglect responsibilities at work, school, or home because of substance use?
- Have you lost interest in activities or hobbies you once enjoyed?
- Do you spend a lot of time getting, using, or recovering from substances?
- Despite negative consequences (e.g., health, financial, or legal problems), have you continued using substances?
Section 3: Physical and Emotional Well-being
- Have you experienced withdrawal symptoms when not using substances, such as nausea, shaking, or anxiety?
- Do you use substances to avoid withdrawal symptoms?
- Have you engaged in risky or impulsive behavior while under the influence?
- Do you feel guilty or ashamed about your substance use?
- Have others expressed concern about your use, and have you ignored or dismissed their concerns?
Interpreting Your Results
- 0-3 “Yes” Answers: Your substance use may be low-risk, but it’s still important to stay mindful and seek support if needed.
- 4-6 “Yes” Answers: You may be developing a problematic relationship with substances. In this case, consider reaching out to a professional for help.
- 7+ “Yes” Answers: Your responses suggest a potential substance use disorder. Therefore, seeking professional help is strongly recommended.
Next Steps: Take Action Today
If you’re concerned about your substance use, you’re not alone. Help is available, and recovery is possible. Here’s what you can do next:
- Speak to a Counsellor: Contact Nyumba Yetu for confidential support.
- Join a Support Group: Connect with others who understand your struggles and can offer encouragement.
- Seek Medical Help: If you’re experiencing withdrawal symptoms, consult a healthcare professional immediately.
- Call a Helpline: Reach out to a trusted helpline for immediate assistance. [Insert helpline numbers here]
Final Thought: Recovery Starts Here
Acknowledging a problem is the first step toward healing. No matter where you are in your journey, support is available, and a healthier, substance-free life is within reach. Take the first step today.