Substance Abuse Youth Questions

Note:
  • Only if the client being screened is a person less than 18 years of age, the questions below will also display.
  • To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.

 

 

Question 16

Have you ridden in a car driven by someone (including yourself) who had been drinking or using drugs?  

 

To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.

 

Question 17

Have you used alcohol or drugs to relax, feel better about yourself, or fit in?

 

To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.

 

Question 18

Have you used alcohol or drugs when you are alone?

 

 

 

Question 19

Have you forgotten things you did while using alcohol or drugs?

To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.

 

 

Question 20

Has your family or friends told you that you should cut down on your drinking or drug use?

 

To document the client’s response to this question, CLICK ON the Yes or No button matching the client’s answer.

 

Question 21

Have you gotten into trouble while using alcohol or drugs?

Back to Substance Abuse Questions.