Substance Abuse Quiz: Are You Addicted to Drugs or Alcohol?

Substance Abuse Quiz - Alcohol Addiction Questionnaire: Addictions and Recovery

 

Here are three brief self-tests to help you decide if you have a drug or alcohol addiction, and if so how severe is it.

Alcohol Addiction Self-Assessment Quiz: CAGE

The CAGE test is a simple and accurate self-test to help you decide if you are addicted to alcohol. Answer yes or no to each question.(1)

  1. Have you ever thought you should Cut down your drinking?
  2. Have you ever felt Annoyed when people have commented on your drinking?
  3. Have you ever felt Guilty or badly about your drinking?
  4. Have you ever had an Eye opener first thing in the morning to steady your nerves or get rid of a hangover?

Your score:
Score one point for each yes answer.

If you scored 1, there is an 75% chance you're addicted to alcohol.
If you scored 2, there is an 85% chance you're addicted to alcohol.
If you scored 3, there is a 95% chance you're addicted to alcohol.
If you scored 4, there is a 99% chance you're addicted to alcohol.(2)

What is Addiction Video (5:30 min)


Drug Addiction and Drug Abuse Quiz: Modified CAGE

Most self-test questionnaires apply to alcohol addiction, but they can be adapted to test for all drug addictions including opioid addiction, marijuana addiction, cocaine addiction, and benzodiazepine addiction.

  1. Have you ever thought you should Cut down your drug or alcohol use?
  2. Have you ever felt Annoyed when people have commented on your use?
  3. Have you ever felt Guilty or badly about your use?
  4. Have you ever used drugs or alcohol to Ease withdrawal symptoms, or to avoid feeling low after using?

Alcohol Addiction and Alcoholism Assessment: AUDIT

The AUDIT (Alcohol Use Disorders Identification Test) was developed by the World Health Organization (WHO).(3) The test correctly classifies 95% of people into either those with an alcohol addiction (alcoholism) or individuals who don’t have and alcohol addiction and do not abuse alcohol. It was tested on 2000 people before being published.

To correctly answer some of these questions you need to know the definition of a drink. For this test one drink is:
One can of beer (12 oz or approx 330 ml of 5% alcohol), or
One glass of wine (5 oz or approx 140 ml of 12% alcohol), or
One shot of liquor (1.5 oz or approx 40 ml of 40% alcohol).

1. How often do you have a drink containing alcohol?
Never (score 0)
Monthly or Less (score 1)
2-4 times a month (score 2)
2-3 times a week (score 3)
4 or more times a week (score 4)

2. How many alcoholic drinks do you have on a typical day when you are drinking?
1 or 2 (0)
3 or 4 (1)
5 or 6 (2)
7-9 (3)
10 or more (4)

3. How often do you have 6 or more drinks on one occasion?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)

4. How often during the past year have you found that you drank more or for a longer time than you intended?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)

5. How often during the past year have you failed to do what was normally expected of you because of your drinking?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)

6. How often during the past year have you had a drink in the morning to get yourself going after a heavy drinking session?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)

7. How often during the past year have you felt guilty or remorseful after drinking?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)

8. How often during the past year have you been unable to remember what happened the night before because of your drinking?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)

9. Have you or anyone else been injured as a result of your drinking?
No (0)
Yes, but not in the past year (2)
Yes, during the past year (4)

10. Has a relative, friend, doctor, or health care worker been concerned about your drinking, or suggested that you cut down?
No (0)
Yes, but not in the past year (2)
Yes, during the past year (4)

Your score:
If you scored 8-10 or more, you are probably addicted to alcohol.

It may seem like the AUDIT questionnaire is an easy test to fail. If you applied this test to other aspects of your life you will almost certainly come up as being addicted to something. For example, most people watch too much television, or eat too much of their favorite food. But those are so-called "soft addictions", and the AUDIT questionnaire was not designed to assess them. It is extremely reliable when it comes to assessing alcohol addiction. (The pdf format version of the AUDIT is available through the WHO website. Copyright 1993 World Health Organization.)

Drug and Alcohol Addiction Treatment

It is scary to think that you might have an addiction. But there is treatment and hope. Many people have sought addiction treatment and have changed their lives. There are many addiction treatment options to choose from including self-help groups and out-patient or in-patient addiction rehab.

You have already taken the first step towards addiction treatment. You have asked the question, “Do I have an addiction?” Take the next step and change your life. Ask for help, learn addiction recovery skills, develop relapse prevention skills so that you don’t have to continue to suffer.

References

1. Ewing, J.A., Detecting alcoholism. The CAGE questionnaire. JAMA, 1984. 252(14): p. 1905-7.
2. Bush, B., et al., Screening for alcohol abuse using the CAGE questionnaire. Am J Med, 1987. 82(2): p. 231-5.
3. Babor, T.F., et al., AUDIT: The Alcohol Use Disorders Identification Test. Guidelines for Use in Primary Care. World Health Organization, Department of Mental Health and Substance Dependence.  http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf. WHO.

Last Modified:March 21, 2018