Cocaine Anonymous South Africa

Your cart is currently empty!

Home
Self-Test
Help
Archives
Announcements
Global Events
CASA Convention 2024
Meetings

Are You An Addict?

It is the collective experience of the members of Cocaine Anonymous
that addiction is a problem not limited to cocaine or any other mind-altering substance.

With this in mind, we suggest you answer the following questions:

Form Submission is restricted

Form is successfully submitted. Thank you!

Cocaine Anonymous Self-Test

Have you ever used more cocaine, alcohol or other drugs than you planned?*

Yes

No

Has the use of cocaine, alcohol or other drugs ever interfered with your job?*

Yes

No

Is your use of cocaine, alcohol or other drugs causing problems within your relationships?*

Yes

No

Do you ever feel depressed, guilty, or remorseful after using cocaine, alcohol or other drugs?*

Yes

No

Do you use whatever cocaine, alcohol or other drugs you have, almost continually, until the supply is exhausted?*

Yes

No

Have you ever experienced physical problems due to your use of cocaine, alcohol or other drugs?*

Yes

No

Do you ever regret using cocaine, alcohol or other drugs for the first time?*

Yes

No

Do you ever obsess about getting cocaine, alcohol or other drugs when you do not have any?*

Yes

No

Are you experiencing financial difficulties due to your use of cocaine, alcohol or other drugs?*

Yes

No

Do you experience an anticipation high when you are about to use cocaine, alcohol or other drugs?*

Yes

No

Do you have difficulty sleeping without alcohol or other drugs?*

Yes

No

Are you absorbed with the thought of using cocaine, alcohol or other drugs even while interacting with a friend or loved one?*

Yes

No

Have you begun to use cocaine, alcohol or other drugs while you’re alone?*

Yes

No

While using or drinking, do you ever have feelings that people are talking about you or watching you?*

Yes

No

Do you have to use more cocaine, alcohol or other drugs to get the same effects you once experienced?*

Yes

No

Have you tried to cut down on your use of cocaine, alcohol or other drugs only to find that you could not?*

Yes

No

Have you tried to stop using cocaine, alcohol or other drugs only to find that you could not stay stopped?*

Yes

No

Have any of your friends or family suggested that you may have a problem with cocaine, alcohol or other drugs?*

Yes

No

Have you ever lied to or misled people about how much cocaine, alcohol or other drugs you use?*

Yes

No

Have you ever lied to or misled people about how often you get high or drunk?*

Yes

No

Do you use cocaine, alcohol or other drugs in your car, at work, in the bathroom, or in other public places?*

Yes

No

Are you afraid that if you stop using cocaine, alcohol or other drugs, your work will suffer or you will not be able to function?*

Yes

No

Do you spend time around people or go places you would normally stay away from if not for the availability of cocaine, alcohol or other drugs?*

Yes

No

ave you ever stolen money, cocaine, alcohol, or other drugs from friends or family?*

Yes

No

Has using and/or drinking cost you more than money?*

Yes

No

Home
Self-Test
Help
Archives
Announcements
Global Events
CASA Convention 2024
Meetings