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.
Calls to any general helpline (non-facility specific 1-8XX numbers) for your visit will be answered by American Addiction Centers (AAC).
Caring admissions consultants are standing by 24/7 to discuss your treatment options. These representatives work solely for AAC and will discuss whether an AAC facility may be an option for you.
Our helpline is offered at no cost to you and with no obligation to enter into treatment. Neither Rehabs.com nor AAC receives any commission or other fee that is dependent upon which treatment provider a visitor may ultimately choose.
For more information on AAC’s commitment to ethical marketing and treatment practices, or to learn more about how to select a treatment provider, visit our About Us page.