Substance Use Brief Screen (SUBS)

Instructions: Please check 1 box for each question.
In the past 12 months, how many days did you have or use…	3 or more days	1 or 2 days	Never
Tobacco?
4 or more alcoholic drinks* in a day, including wine or beer?
Any illegal drug, including marijuana?
Any prescription medications^¶ "recreationally"^Δ?

* Consider a "drink" to be a can or bottle of beer (12 ounces), a glass of wine (5 ounces), a wine cooler (12 ounces), or a shot of hard liquor like gin, vodka, or whiskey (1.5 ounces).
¶ Prescription medications are those that are prescribed to you or to someone else.
Δ "Recreationally" means taking medications just for the feeling or experience they cause, to get high, or taking them more often or at higher doses than prescribed.

Reproduced from: McNeely J, Strauss SM, Saitz R, et al. A brief patient self-administered substance use screening tool for primary care: Two-site validation study of the Substance Use Brief Screen (SUBS). Am J Med 2015; 128:784. Table used with the permission of Elsevier Inc. All rights reserved.

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Substance Use Brief Screen (SUBS)