Have you continued taking methadone even when you knew it was worsening your physical or mental health?

Have you had to cut back on or abandon social or recreational activities because of your ongoing methadone use?

Have you frequently wanted to reduce your usage of methadone?

Have you unsuccessfully tried to cut down on your use of methadone?

Do you often take methadone over a longer time than you intended?

Do you often larger quantities of methadone than you originally intended?

Have you failed to meet your responsibilities at work, school, or home because of your ongoing methadone use?

Do you spend a lot of time finding, using, or recovering from using methadone?

Do you often have strong cravings to use methadone?

Have you experienced relationship issues or social issues due to the effect of your methadone use and kept using it regardless?

Have you repeatedly used methadone when it was hazardous to do so, such as while operating machinery or a vehicle, or in any other unsafe situation?

When discontinuing prolonged methadone use, have you experienced yawning, sweating, a runny nose, nausea, vomiting, insomnia, fever, diarrhea, muscle aches, or an uncomfortable mood? (Please answer “No” if you are taking methadone exclusively as directed under medical supervision.)

Have you resumed taking methadone or any similar drugs to avoid or alleviate these symptoms? (Please answer “No” if you are taking methadone exclusively as directed under medical supervision.)

Have you had to take higher doses of methadone to achieve the effects you desired? (Please answer “No” if you are taking methadone exclusively as directed under medical supervision.)

After using the same dose of methadone for a period of time, have you noticed it has a reduced effect on you? (Please answer “No” if you are only taking methadone exclusively as directed under medical supervision.)