Questionnaire for Early Detection of Addiction in Adolescents Test - the question form
Questions: 38 · 7 minutes
1. Have you noticed in your child a decline in school performance over the past year?
Yes
No
2. Unable to tell you about what is going on in social life at school.
Yes
No
3. Loss of interest in sports and other extracurricular activities.
Yes
No
4. Frequent, unpredictable mood swings.
Yes
No
5. Frequent bruises or cuts that cannot be explained.
Yes
No
6. Frequent colds.
Yes
No
7. Loss of appetite, weight loss.
Yes
No
8. Often asking you or your relatives for money.
Yes
No
9. Low mood, negativity, and a critical attitude toward ordinary things and events.
Yes
No
10. Social withdrawal or avoiding participation in family life.
Yes
No
11. Secrecy, withdrawal, being preoccupied, listening to audio recordings for long periods.
Yes
No
12. Do you take a self-protective stance when discussing behavioral characteristics?
Yes
No
13. Anger, aggressiveness, irritability.
Yes
No
14. Increasing indifference to your surroundings or loss of enthusiasm.
Yes
No
15. A sudden drop in school performance.
Yes
No
16. Tattoos; cigarette burn marks; cuts on the forearms.
Yes
No
17. Insomnia and increased fatigue alternating with unexplained bursts of energy.
Yes
No
18. Memory problems or difficulty thinking logically.
Yes
No
19. Neglecting morning hygiene, lack of interest in changing clothes, etc.
Yes
No
20. Increasing dishonesty.
Yes
No
21. Unusually dilated or constricted pupils.
Yes
No
22. Having large amounts of money with no known source of income.
Yes
No
23. Frequent smell of alcohol or the smell of hashish on clothing.
Yes
No
24. Memory loss for events that occurred while intoxicated.
Yes
No
25. Presence of a syringe, needles, vials, soot-stained cookware, potassium permanganate, acetic acid, acetone, or solvents.
Yes
No
26. Presence of unfamiliar pills, powders, dried plant material, cannabis, etc., especially if they are being hidden.
Yes
No
27. Being intoxicated without the smell of alcohol.
Yes
No
28. Redness of the whites of the eyes, a brown coating on the tongue, or needle marks.
Yes
No
29. Have you heard your child make statements that life is meaningless?
Yes
No
30. Talk about drugs.
Yes
No
31. Insisted on your right to use drugs.
Yes
No
32. Have you experienced any of the following: Medications missing from the home medicine cabinet.
Yes
No
33. Money, valuables, books, clothing, etc. have gone missing from home.
Yes
No
34. Has your child ever been detained in connection with using intoxicating substances at discos, parties, or similar events?
Yes
No
35. Been arrested for driving under the influence.
Yes
No
36. Stealing.
Yes
No
37. Have you ever been arrested for possessing, transporting, purchasing, or selling drugs?
Yes
No
38. Other illegal acts committed while under the influence (including alcohol).
Yes
No