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Cocaine Addiction Self-Assessment Screening Quiz

This brief questionnaire will evaluate whether you may have developed a cocaine dependency. Cocaine is a powerful stimulant found most often as an illicit stimulant street drug (though pharmaceutical grade cocaine exists for limited medical use), and can be snorted, smoked or injected. These simple screening questions are derived from criteria of the “Diagnostic and Statistical Manual of Mental Disorders” for stimulant use disorder, which includes cocaine use.

*Note: Your answers to these questions are confidential and fully anonymous.