Exploring Your Relationship with Opiates

This self-assessment is designed to help you reflect on how opiates may be affecting your life. Your answers are completely private, and this quiz is offered with care and without judgment. Many people have found that understanding their current situation is an important first step toward positive change.

Your Relationship with Opiates

How would you describe your use habits over the past few months?

I've used as prescribed by my doctor without any changes

I sometimes take more than prescribed or use in ways not intended

I regularly use more than prescribed or obtain opiates without a prescription

I frequently use larger amounts than intended or spend significant time obtaining opiates

Have you wanted to reduce or control your use?

I haven't felt the need to change my use

I've occasionally thought about cutting back

I've made efforts to cut down but found it challenging

I've tried multiple times to reduce my use without success

How do you feel when you go without opiates for a period of time?

I don't notice any significant changes

I feel some discomfort but can manage

I experience moderate physical or emotional discomfort

I experience significant discomfort that affects my functioning

Impact on Your Daily Life

How has your opiate use affected your ability to fulfill responsibilities?

I consistently meet all my work, school, or home responsibilities

I occasionally struggle to fulfill some responsibilities

I frequently have difficulty meeting important obligations

I've experienced significant problems with responsibilities due to opiate use

How has your opiate use affected your relationships with others?

My relationships remain positive and unchanged

I've experienced some tension or distance in relationships

My relationships have been notably strained

I've experienced significant conflict or loss of important relationships

How has your opiate use affected activities you used to enjoy?

I continue to engage in and enjoy my usual activities

I sometimes participate less in activities I once enjoyed

I've given up several activities that were once important to me

I've largely stopped participating in activities I used to value

Your Physical and Emotional Wellbeing

Have you experienced health concerns related to your substance use?

No health concerns related to substance use

Minor health issues that may be related to opiate use

Moderate health concerns connected to opiate use

Significant health problems or overdose experiences

How would you describe your emotional wellbeing recently?

Generally positive with normal ups and downs

Sometimes experiencing increased anxiety, depression, or mood changes

Frequently struggling with emotional difficulties

Experiencing severe emotional distress or thoughts of harming myself

How often do you think about opiates?

Rarely think about opiates beyond taking prescribed medication

Sometimes find myself thinking about when I can next use

Frequently think about using throughout the day

Spend significant time thinking about obtaining, using, or recovering from my use

Looking Forward

How do you feel about making changes in your relationship with opiates?

I don't currently feel a need to change my use

I'm considering whether changes might be beneficial

I want to make changes but feel uncertain about how to proceed

I'm ready to make changes and would welcome support