CRACK QUIZ

This test was created using criteria from the Diagnostic Statistics Manual, used to diagnose substance dependence. Please answer honestly to best see the level of your crack use disorder. All information is confidential and will not be shared with 3rd parties.

First Name
Email
Do you frequently use crack if you have access to it?
Have you ever used more crack than you intended to in a day?
Do you use crack for more hours than you did when you started?
Do you need to use more crack to get the same high you had in previous uses?
Do you experience withdrawal symptoms (sweats, anxiety, exhaustion, irritability) when you stop using crack?
Have you ever experienced diarrhea, shortness of breath, or other physical symptoms when you stop using crack?
Have you ever unsuccessfully tried to quit crack?
Has your crack use interfered with your work?
Have you lost or withdrawn more from friends because of your crack use?
Has crack caused you to neglect family or personal responsibilities?
Have you withdrawn or lost interest in your hobbies or social life because of your crack use?
Do you spend a lot of time thinking about crack or how to get more?
Since using crack, have you had irregular behavior, or memory loss?
Since using crack, have you had any heart, lung, or liver problems?
Have you ever been hospitalized because of crack?

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