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Questionnaire

Have you ever tried to stop using drugs but couldn’t ?
Do you ever feel ashamed or guilty after using drugs or alcohol?
Has a friend or relative ever expressed concern about your drug or alcohol use ?
While under the influence of alcohol or drugs, have you gotten into fights with other people?
Have your ever lost a job or realised your work quality has suffered due to drug or alcohol use?
Have you been arrested for offending while under the influence of alcohol or drugs?
Have you ever participated in illegal activities in order to get your drugs?
When you stop taking your drug, do you experience any withdrawal symptoms or cravings?
Have you ever had medical problems such as memory loss, hepatitis, convulsions, bleeding, etc. as a result of your alcohol or drug use?
This field is for validation purposes and should be left unchanged.

If you have answered YES to any of these questions, please make an appointment to speak to one of our Medical Practitioners to discuss your concerns.