Cocaine Addiction Quiz Victoria February 24, 2023 Cocaine Addiction QuizFill out the quiz below to get an assessment if you or someone you care about is suffering Full Name * Email * Phone Do you frequently use cocaine in large amounts whenever it is available? Yes No Do you find yourself unable to stop using cocaine once you’ve started? Yes No Do you find yourself doing more cocaine in order to achieve the same high you had reached in prior experiences? Yes No Do you experience withdrawals such as fatigue, sleep disturbances, anxiety or depression when you stop using cocaine? Yes No Have you been unable to successfully quit cocaine despite your best efforts? Yes No Have you ever consulted a healthcare professional to help you quit? Yes No Have you ever continually neglected any family responsibility or other obligation because of cocaine? Yes No Have you ever lost a job or friends because of cocaine? Yes No Have you ever committed a crime (aside from purchasing or possessing the drug) to obtain cocaine? Yes No Have you ever been arrested for using or possessing cocaine? Yes No Do you use cocaine more than once a week? Yes No Since using cocaine, have you experienced paranoia, hallucinations, delusions or seizures? Yes No Since using cocaine, have you had an issue with weight loss? Yes No Since using cocaine, have you had any problems with your heart, gastrointestinal tract or kidneys? Yes No Since using cocaine, have you had any problems with nasal perforations or your respiratory system? Yes No Have you ever gone to the hospital because of cocaine? Yes No Time's up
