Readiness to Change Questionnaire, SOCRATES Test - the question form
Questions: 19 · 4 minutes
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1. I really want to make changes in my lifestyle related to my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
2. I have already started making changes in my lifestyle related to my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
3. At one time I used too many drugs, but I have managed to deal with it.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
4. Sometimes I wonder whether I am really addicted to drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
5. I am not only thinking about changing my lifestyle related to my drug use, but I have already started doing something about it.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
6. I have already changed my drug use lifestyle and am looking for ways to keep from going back to my old habits.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
7. I have serious problems with drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
8. Sometimes I wonder whether my drug use is harming other people.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
9. I am currently making active efforts to cut down or stop using drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
10. If I do not change my drug use–related lifestyle soon, my problems may get worse.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
11. I know that I have a problem with drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
12. I want help so that I do not return to the problems I have had in the past because of my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
13. Sometimes I ask myself whether I am in control of my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
14. I am a drug addict.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
15. I am trying as hard as I can to change my drug use-related lifestyle.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
16. Sometimes I wonder whether I use drugs too much.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
17. I have a drug problem.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
18. I have already made changes in my lifestyle related to my drug use, and I need help to continue making changes in this direction.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
19. My drug use lifestyle causes me a lot of harm.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
1. I really want to make changes in my lifestyle related to my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
2. I have already started making changes in my lifestyle related to my drug use.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
3. At one time I used too many drugs, but I have been able to manage it.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
4. Sometimes I wonder whether I am really addicted to drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
5. I am not only thinking about making lifestyle changes related to my drug use, but I have already started doing something about it.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
6. I have already changed my lifestyle related to my drug use, and I am looking for ways to keep from going back to my old habits.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
7. I have serious problems with drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
8. Sometimes I think about whether my drug use is harming other people.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
9. I am currently making active efforts to reduce or stop my drug use.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
10. If I do not change my drug use soon, my problems may get worse.
1 - Strongly disagree
2 - Disagree
3 - Unsure
4 - Agree
5 - Strongly agree
11. I know that I have problems with drugs.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
12. I want help so I do not return to the problems I have had in the past because of my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
13. Sometimes I ask myself whether I am in control of my drug use.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
14. I am a drug addict.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
15. I am trying as hard as I can to change my drug use lifestyle.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
16. Sometimes I wonder whether I use drugs too much.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
17. I have a drug problem.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
18. I have already made some changes in my drug use, and I need help to keep moving in that direction.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree
19. My drug use is causing a lot of harm in my life.
1 – Strongly disagree
2 – Disagree
3 – Unsure
4 – Agree
5 – Strongly agree