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.
Link to this Quiz
For those seeking addiction treatment for themselves or a loved one, the Rehabs.com helpline is a private and convenient solution. Caring advisors are standing by 24/7 to discuss your treatment options.
Calls to any general helpline (non-facility specific 1-8XX numbers) for your visit will be answered by American Addiction Centers (AAC) or a paid sponsor.
To find out more about how Rehabs.com works, visit our FAQ.