Substance Abuse Assessment

My child has come home on a number of occasions with bloodshot eyes.
Yes
No

My child is more irritable than usual and seems evasive when I ask him or her about it.
Yes
No

I have found evidence of alcohol or drug use by my child.
Yes
No

I have seen my child intoxicated or under the influence of drugs.
Yes
No

I have found paraphernalia in my child's belongings (even if the child claimed these belonged to a friend, check yes).
Yes
No

I have caught my child with drugs or drug paraphernalia (answer yes, even if the child claimed it belonged to "a friend")
Yes
No

My child is very secretive lately, and spends a lot of time locked in her or her bedroom.
Yes
No

My child's grades have dropped precipitously recently.
Yes
No

My child is no longer interested in any of the activities he or she used to participate in regularly (music, sports, theater, etc).
Yes
No



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