Click on the statements below that apply to the individual. Do not click on statements that are not applicable.


*1. They have to use nicotine as soon as they wake up. 


*2. They can't stop using hallucinogens, even though hallucinogens harm their health. 


*3. They can't stop using caffeine, even though it causes them health issues. 


*4. Their use of cocaine or crack has put them or others in danger. 


*5. They have had no success quitting meth or reducing the amount they take. 


*6. They have had no success quitting sedatives or reducing the amount the take. 


*7. They are in a crisis because they can’t control their sexual behavior. 


*8. Their use of pornography causes significant problems in their life. 


*9. They find themselves unable to stop drinking more and more alcohol. 


*10. Their addictive behavior often holds them back from their responsibilities. 


*11. They have had no success quitting cocaine or crack or reducing the amount they take. 


*12. When they're not high on cannabis, getting high is all they can think about. 


*13. They play video games for at least 30 hours a week. 


*14. When they can't use meth as they usually do, they feel ill. 


*15. They cannot stop watching pornography, even though it has damaged their relationships. 


*16. When they don't have access to the internet, they can’t think of anything else. 


*17. They regularly fall short of their responsibilities because of their use of hallucinogens. 


*18. When they're not using inhalants, they can't think about anything else. 


*19. They repeatedly put themselves or others at risk of harm when they drink. 


*20. They have to keep increasing the amount of hours they work in order to feel satisfied. 


*21. They can't stop using cannabis, even though they want to stop. 


*22. They have given up other hobbies and interests because they're always online. 


*23. They crave certain foods to the point where they can't think of anything else. 


*24. When they can't use drugs as they usually do, they feel ill. 


*25. When they can't use cocaine or crack as they usually do, they feel ill. 


*26. They have so many sexual thoughts that they can’t think of anything else. 


*27. They find it difficult to stop thinking about pornography. 


*28. They often end up gambling more than they can afford to lose. 


*29. Their use of inhalants often holds them back from responsibilities. 


*30. When they can't eat the foods that they want to, they can't function normally. 


*31. When they don't take pain relievers as they usually do, they feel ill. 


*32. They play video games instead of taking care of their needs. 


*33. They spend most of their time getting, using, or recovering from hallucinogens. 


*34. They have had no success quitting drugs or reducing the amount they take. 


*35. They feel like they have less and less control over their opioid use. 


*36. They spend so much time on the internet that they can't do anything else. 


*37. They get severe headaches and body pains if they don’t have caffeine. 


*38. Even when they are sick, they have to use nicotine. 


*39. Once they start drinking, it's hard for them to stop until they are fully drunk. 


*40. They can’t change their eating habits, even though it causes them severe health issues. 


*41. It’s hard for them to enjoy anything unless they are high on cannabis. 


*42. Even when they are on a vacation or a break, they can’t stop themselves from working. 


*43. They have given up other hobbies and interests so that they can do more shopping. 


*44. Their use of meth has put them or others in danger. 


*45. Even though nicotine use causes health problems for them, they still can't stop. 


*46. They can't quit inhalants, even though inhalants cause problems with their health. 


*47. If they can't work out like they normally do, they can't think of anything else. 


*48. They are always thinking about when they're going to gamble next. 


*49. Their overuse of pain relievers has put them or others in danger. 


*50. They need to work long hours to feel good, even though it causes stress on their relationships. 


*51. Their shopping habits have caused serious problems in their life. 


*52. When they don’t take opioids as they usually do, they feel ill. 


*53. They work out so much it causes them physical or mental problems. 


*54. They have had no success quitting opioids or reducing the amount they take. 


*55. They work out even if they are injured or before they are fully recovered. 


*56. When they don’t take sedatives as they usually do, they feel ill. 


*57. They can't stop their addictive behavior, even though it causes them problems. 


*58. They can’t keep themselves from buying things they don't need. 


*59. If they can't repeat their addictive behavior, they can't think of anything else. 


*60. Their use of sedatives has put themselves or others in danger. 


*61. They have had no success quitting pain relievers or reducing the amount they take. 


*62. Their use of stimulants has put themselves or others in danger. 


*63. If they don’t have caffeine for the day, they can't think of anything else. 


*64. Their use of drugs has put them or others in danger. 


*65. When they can't use stimulants as they usually do, they feel ill. 


*66. They can't stop gambling, even if they try. 


*67. They have had no success quitting stimulants or reducing the amount they take. 


*68. Video games are the only thing they enjoy anymore. 


*69. Their need for sex has damaged their relationships.