A Path to Peace of Mind
DAST‐10 Questionnaire I’m going to read you a list of questions concerning information about your potential involvement with drugs, excluding alcohol and tobacco, during the past 12 months.
When the words “drug abuse” are used, they mean the use of prescribed or over‐the‐counter medications/drugs in excess of the directions and any non‐medical 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. If you have difficulty with a statement, then choose the response that is mostly right. You may choose to answer or not answer any of the questions in this section.
These questions refer to the past 12 months. Circle 0 for No and 1 for Yes
Oct 6, 2022
Nov 8, 2022
Nov 2, 2022
Nov 20, 2023
Dec 10, 2023
Feb 20, 2022
Jan 7, 2023
Irene I. Esene, MSN, APRN-CNP, PMHNP-BC