Response Form

Missed a day or part of a day of classes due to drinking or drug use?

 

Had anyone express concern about your drinking or drug use?

 

Drank or used drugs to feel more comfortable in social settings?

 

Felt remorse or embarrassment after drinking or using drugs?

 

Hidden how much you drink or use drugs from others?

 

Been in trouble with the law due to drinking or drug use?

 

Craved a drink or drug on special or difficult occasions?

 

Looked forward to drinking or using drugs?

 

Drank or used drugs to escape from worries or troubles?

 

Drank or used drugs alone?

 

Had a loss of memory because of drinking or drug use?

 

Drank or used drugs to build up your self-confidence?

 

Been asked to stop drinking or using drugs?

 

Drank or used drugs to feel better about your life?

 

Had to drink more alcohol or use more drugs then you used to get drunk or feel the effects?

Have you or someone you known ever:

NDHECSAP web space provided by:

The University of North Dakota

The North Dakota Higher Education Consortium for

Substance Abuse Prevention, an initiative of the

North Dakota University System

Quiz provided by the University of North Dakota Dean of Student Office.