National Institute on Drug Abuse quick screen

In the past year*, how often have you used the following:	Never	Once or twice	Monthly	Weekly	Daily or almost daily
Alcohol, four or more drinks per day
Tobacco products
Prescription drugs for nonmedical reasons
Illegal drugs

* For pregnant women, ask about substance use since the woman became pregnant.

Modified from: National Institute on Drug Abuse (NIDA). The NIDA Quick Screen. Available at: https://www.drugabuse.gov/sites/default/files/pdf/nmassist.pdf (Accessed on September 21, 2016).

Graphic 109834 Version 2.0

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