Substance Use Assessment

Is your Substance Use a Problem?

Take this simple quiz*

This questionnaire concerns information about your potential involvement with drugs, excluding alcohol and tobacco, during the past 12 months.

Contact Us

If you have a question, would like more information, or have another concern, please complete the form below. Please note that the form submissions are not monitored 24/7. IMPORTANT: If you need immediate assistance, support is available through Live Chat, by calling (855) 581-8111, or texting (855) 895-8398.

You have taken an important step by filling out this confidential form and by checking the box below you agree to have a problem substance use disorder professional contact you.

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