Cocaine Addiction Self-Test
Are you addicted to cocaine Cocaine Anonymous offers the following questions to anyone
who may have a cocaine problem. These questions are provided to help the individual decide
if he or she has a cocaine addiction. Use the results to help decide if you need to seek help
from a doctor or other mental health professional to further discuss diagnosis and treatment of an addiction to cocaine.
Instructions
Respond to the cocaine addiction self-test questions below, then click
the “score” button for an interpretation of the results
1 )Do you ever use more cocaine than you planned?
Yes
No
2 )Has the use of cocaine interfered with your job?
Yes
No
3 )Is your cocaine use causing conflict with your spouse or family?
Yes
No
4 )Do you feel depressed, guilty, or remorseful after you use cocaine?
Yes
No
5 )Do you use whatever cocaine you have almost continuously until the supply is exhausted?
Yes
No
6 )Have you ever experienced sinus problems or nosebleeds due to cocaine use?
Yes
No
7 )Do you ever wish that you had never taken that first line, hit, or injection of cocaine?
Yes
No
8 )Have you experienced chest pains or rapid or irregular heartbeats when using cocaine?
Yes
No
9 )Do you have an obsession to get cocaine when you don’t have it?
Yes
No
10 )Are you experiencing financial difficulities due to your cocaine use?
Yes
No
11 )Do you experience an anticipation high just knowing you are about to use cocaine?
Yes
No
12 )After using cocaine, do you have difficulty sleeping without taking a drink or another drug?
Yes
No
13 )Are you absorbed with the thought of getting loaded even while interacting with a friend or loved one?
Yes
No
14 )Have you begun to use drugs or drink alone?
Yes
No
15 )Do you ever have feelings that people are talking about you or watching you?
Yes
No
16 )Do you use larger doses of drugs or alcohol to get the same high you once experienced?
Yes
No
17 )Have you tried to quit or cut down on your cocaine use only to find that you couldn’t?
Yes
No
18 )Have any of your friends or family suggested that you may have a problem?
Yes
No
19 )Have you ever lied to or misled those around you about how much or how often you use?
Yes
No
20 )Do you use drugs in your car, at work, in the bathroom, on airplanes, or other public places?
Yes
No
21 )Are you afraid that if you stop using cocaine or alcohol your work will suffer or you will lose your energy, motivation, or confidence?
Yes
No
22 )Do you spend time with people or in places you otherwise would not be around but for the availability of drugs?
Yes
No
23 )Have you ever stolen drugs or money from friends or family?
Yes
No
Scoring:
f you answered YES to even one question (score of 1 or higher), you may have a serious cocaine
problem, according to Cocaine Anonymous.
