The requested information is provided in Portable Document Format (PDF). To view and print this document you'll need to install a copy of the free Adobe® Acrobat® Reader®. If you already have Adobe Acrobat Reader installed click "View PDF" below. If you need the Acrobat Reader you can download it from the Adobe Acrobat Reader Download page.

View PDF Cancel

Don't show me this message again
You are leaving Suboxone.com. Links are provided as a public service and for informational purposes only. No endorsement is made or implied. Clicking on "Continue" will take you to a website that is outside the control of Reckitt Benckiser Pharmaceuticals. You are solely responsible for your interactions with such websites.

Continue Cancel

Links are provided as a public service and for informational purposes only.

Continue Cancel

IMPORTANT INFORMATION:
On December 8, 2006, Federal legislation was passed allowing physicians to treat up to 100 opioid dependent patients with Suboxone at any given time—a significant increase from the previous limit of 30 patients.

Read More Close

Patients and Caregivers Healthcare Professionals
 



Resources
About SUBOXONE
Understanding Opioid Dependence
Home

Dependence Identifier
Take the Questionnaire
Starting a Conversation
Patient Stories
Patients' Right to Privacy
Find a Doctor
My Doctor Is Not on the List
Talking With Your Doctor
Send a Letter to Your Doctor
Dependence Identifier

Take the Drug Dependence Questionnaire
Answer these questions to determine your risk for drug dependence. At the end, you can print the results if you want to share them with your physician.

The Dependence Identifier Questionnaire is strictly confidential and free. No personal information is collected or saved.

This quiz is adapted from the Drug Abuse Screening Test (DAST)1, a tool used by some physicians to assess possible substance abuse problems.

You can use the results of this quiz to start a conversation about drug dependence with your doctor, so answer the questions as honestly and accurately as possible.

PRIVACY PROMISE
We respect your privacy. Your personal answers are not saved or shared with anyone under any circumstances. To review our complete privacy policy, click here.

1. Have you used drugs other than those needed for medical reasons?
Yes No
2. Have you misused prescription drugs?
Yes No
3. Do you misuse more than one drug at a time?
Yes No
4. Can you get through the week without using drugs (other than those needed for medical reasons)?
Yes No
5. Are you always able to stop using drugs?
Yes No
6. Do you misuse drugs on a continuous basis?
Yes No

Next

Reference
1. Skinner HA. The Drug Abuse Screening Test. Addictive Behavior. 1982;7:363-371.