Cocaine Addiction Quiz

The following self-assessment is meant for educational purposes only. It is not intended to be used to self-diagnose any condition. Only a licensed healthcare professional can give a complete substance use assessment and diagnosis. Instead, this questionnaire is designed to assist you with examining your behaviors and the nature of your cocaine use or the cocaine use of a loved one.

Please read the following 11 yes or no questions carefully and answer as honestly as you can. Your responses remain anonymous and confidential.

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