Drug Abuse Screening Test, DAST-10

Thefollowingquestionsconcerninformationaboutyourpossibleinvolvementwithdrugsnotincluding
alcoholicbeveragesduringthepast12months.

"Drugabuse"refersto(1)theuseofprescribedoroverthecounterdrugsinexcessofthedirections,
and(2)anynonmedicaluseofdrugs.

Thevariousclassesofdrugsmayincludecannabis(marijuana,hashish),solvents(e.g.,paintthinner),
tranquilizers(e.g.,Valium),barbiturates,cocaine,stimulants(e.g.,speed),hallucinogens(e.g.,LSD)ornarcotics
(e.g.,heroin).Rememberthatthequestionsdonotincludealcoholicbeverages.

Pleaseanswereveryquestion.Ifyouhavedifficultywithastatement,thenchoosetheresponsethatis
mostlyright.

Inthepast12monthsCircle
1. Haveyouuseddrugsotherthanthoserequiredformedicalreasons? Yes No
2. Doyouabusemorethanonedrugatatime? Yes No
3. Areyouunabletostopabusingdrugswhenyouwantto? Yes No
4. Haveyoueverhadblackoutsorflashbacksasaresultofdruguse? Yes No
5. Doyoueverfeelbadorguiltyaboutyourdruguse? Yes No
6. Doesyourspouse(orparents)evercomplainaboutyourinvolvementwithdrugs? Yes No
7. Haveyouneglectedyourfamilybecauseofyouruseofdrugs? Yes No
8. Haveyouengagedinillegalactivitiesinordertoobtaindrugs? Yes No
Haveyoueverexperiencedwithdrawalsymptoms(feltsick)whenyoustopped
9. Yes No
takingdrugs?
Haveyouhadmedicalproblemsasaresultofyourdruguse(e.g.memoryloss,
10. Yes No
hepatitis,convulsions,bleeding)?
Scoring:Score1pointforeachquestionansweredYes,exceptforquestion3forwhich
Score:
aNoreceives1point.

InterpretationofScore
Score DegreeofProblemsRelatedtoDrugAbuse SuggestedAction
0 Noproblemsreported Noneatthistime
12 Lowlevel Monitor,reassessatalaterdate
35 Moderatelevel Furtherinvestigation
68 Substantiallevel Intensiveassessment
910 Severelevel Intensiveassessment

DrugAbuseScreeningTest(DAST10).(Copyright1982bytheAddictionResearchFoundation.)