DAST10 Form Scoring Feedback

DAST10 Form Scoring Feedback
Date:_____________________________________
CLIENT NAME:
OFFICE USE ONLY
DAST Score:
DRUG USE QUESTIONNAIRE (DAST-10)
The following questions concern information about your potential involvement with drugs excluding alcohol and tobacco during the
past 12 months. Carefully read each statement and decide if your answer is “No” or “Yes”. Then, fill in the appropriate box beside
the question.
When the words “drug abuse” are used, they mean the use of prescribed or over-the-counter in excess of the directions and any nonmedical use of drugs. The various classes of drugs may include: cannabis (e.g., marijuana, hash), solvents, tranquilizers (e.g.,
Valium), barbiturates, cocaine, stimulants (e.g., speed), hallucinogens (e.g., LSD) or narcotics (e.g., heroin). Remember that the
questions do not include alcohol or tobacco.
Please answer every question. If you have difficulty with a statement, then choose the response that is mostly right.
These questions refer to the past 12 months
No
Yes
1.
Have you used drugs other than those required for medical reasons?..............................................................
0
1
2.
Do you abuse more than one drug at a time?...........................................................................................................
0
1
3.
Are you always able to stop using drugs when you want to?...............................................................................
0
1
4.
Have you had "blackouts" or "flashbacks" as a result of drug use?.....................................................................
0
1
5.
Do you ever feel bad or guilty about your drug use?...............................................................................................
0
1
6.
Does your spouse (or parents) ever complain about your involvement with drugs?....................................
0
1
7.
Have you neglected your family because of your use of drugs?...........................................................................
0
1
8.
Have you engaged in illegal activities in order to obtain drugs?...........................................................................
0
1
9.
Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?...............
0
1
10.
Have you had medical problems as a result of your drug use (e.g., memory loss, hepatitis, convulsions,
0
1
bleeding, etc.)? ...................................................................................................
DAST-­‐10 SCORING1 SCORE
0 1 – 2 3 -­‐ 5 6 -­‐ 8 9 -­‐ 10 DEGREE OF PROBLEM
RELATED TO DRUG ABUSE
None Reported Low Level Moderate Level Substantial Level Severe Level
SCORING: For every “YES” answer to Questions 1–2, 4-10
score l point and for Question 3 score l point for a "NO"
answer
1
Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7, 363-371.
Personalized Feedback: Where Does Your Drug Use Fit In?
Where Does Your DRUG Use Fit In?
The DAST-10 score evaluates the level of a person's drug problem.
Below is your DAST score, which is based on materials you
filled out earlier. Higher scores typically reflect more serious
problems.
My primary drug is____________
Severe
(9–10)
Substantial
(6–8)
Where Do You Fit In?
Your DAST-10 Score is
_________
Moderate
(3–5)
Low
(1–2)
No Problem
Reported (0)
132
Was this manual useful for you? yes no
Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Download PDF

advertising