Step 1 – Please complete the following questions, no one will judge you for your responses so be honest.

 

Yes

No

1.Have you ever ridden in a car driven by someone (including yourself) who was high or had been using alcohol or drugs?

2.Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?

3.Do you ever use alcohol or drugs while you are by yourself?

4.Do you ever forget things you did while or after using alcohol or drugs?

5.Do your family or friends ever tell you that you should be cutting down on your drinking or drug use?

6.Have you ever been in trouble whilst or after using alcohol or drugs?

How old are you?

Full Screening

Thanks for answering those questions
Because your answers show that either you are using substances or you are mixing with people that are we'd like you to answer a few more short questions.

1) What substances do you use (drugs and/or alcohol)?

I don't use any alcohol or drugs

I use a single substance (drugs or alcohol) – rarely, if ever mix substances

I occasionally use 1 or more substance at the same time. (e.g. taking cannabis and alcohol)

I regularly use more than one substance at the same time

2) Do you smoke?

Yes

No

3) How often do you use alcohol and/or drugs?

3a - Alcohol Use

  

'One off' or no regular alcohol use

Occasional use (e.g. low amounts, weekends only)

Heavy use. (e.g. larger amounts, several times a week, daily use or binge drinking)

3b - Drug Use

  

No drug use

'One off'

Occasional use

Use regularly

3c - Have you been in hospital (including A+E) because of your alcohol or drug use?

  

Yes

No

4) Have you EVER taken risks while you were drunk or under the influence of drugs? e.g. had a fight, gone somewhere you wouldn't usually go, had sex, engaged in criminal activity, made poor decisions.

Often

Sometimes

Not at all

5) How do you feel on a normal day if 1 is poor and 20 is good.

6) Do you see yourself as attending school/college/work or placement on a regular basis?

Yes

No

7) Other than your immediate family and friends do you get help or support from anyone else, for example Connexions Worker, Social Worker, Youth Worker, Youth Offending?

Yes

No

If yes, please tell us who (named worker and agency)

Thank you

Your participation in this survey is complete

From the answers you've given it sounds like things are going ok at the moment. Remember that any use (however minor) of alcohol or drugs can have related negative consequences and can impact on your health and well-being. This can include things like making poor sexual decisions, being a victim of violence, skipping or not concentrating at school/college/placements. It's always good to have the facts so why not do the interactive quiz if you do ever find you need any help or advice there is lots information here or you can call 01709 836047.
If you would like to continue with the full screening tool please .

Thank you

Your participation in this survey is complete

Your final score was 0