Opioid Test Fill out the quiz below to get an estimate of the likelihood that you or someone you care about is suffering from opioid addiction. In the past few months, have you noticed a decline in your physical or mental health? Yes No None Have you noticed that a lot of the things you liked doing in the past are no longer important to you? Yes No None Have you recently lost your job or an important relationship because of using opioids? Yes No None Are your sleep cycles out of sync - you're up at night but sleep during the day? Yes No None Do you often experience nausea, vomiting or itching? Yes No None Has your personal hygiene gone downhill in the last few months? Yes No None Do you often wear long-sleeved shirts during the summer months? Yes No None Do you have long periods of time where you don't eat meals? Yes No None Have you been told by your doctor you have kidney or heart problems? Yes No None Have you been on opioid pain medications in the past year or two? Yes No None Are you forgetting appointments, names, phone numbers, and why you walk into a room in your house? Yes No None Do you notice physical withdrawal symptoms when you don't use the drug for a period of time? Yes No None Do you base your daily schedule on your opioid habit? Yes No None Do you borrow money from family and friends to purchase opioids? Yes No None Do you spend a big part of your budget on opiods and/or other drugs? Yes No None Have you ever been arrested for drug possession? Yes No None Have you done anything illegal to obtain opioids or while using opioids? Yes No None At a party, do you find you end up using more opioids than you planned and stay longer so you can use more opioids? Yes No None Do you have cravings to use opioids? Yes No None When you try to cut back on your opioid use, are you unsuccessful? Yes No None Do you notice you need higher amounts of opioids to get the same effect? Yes No None Have any of your family members or friends asked you to stop using opioids? Yes No None Do you have friends that are opioid or drug users? Yes No None Name E-Mail Phone Would you like to receive a call from us? Time's up Alcoholism Test Marijuana Test
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