Cocaine Addiction AssessmentCocaine Addiction Self-Assessment Screening Quiz Have you taken Cocaine in larger doses or over longer periods of time than you were prescribed?* Yes NoDo you ever feel overwhelming cravings or urges to abuse Cocaine?* Yes NoHave you tried, and failed, to control or quit using Cocaine?* Yes NoHave you used Cocaine for non-medical reasons?* Yes NoDo you continue to use Cocaine despite a physical or psychological issue that could have been caused or made worse by it?* Yes NoDo you need to take increased amounts of Cocaine to feel the desired effects?* Yes NoHave you ever spent a substantial amount of time obtaining Cocaine, using it, or recovering from its effects?* Yes NoHave you ever taken Cocaine to avoid withdrawal symptoms or experienced Cocaine withdrawal signs and symptoms?* Yes NoHas your Cocaine abuse led to financial issues?* Yes NoHas your Cocaine abuse hindered your ability to maintain work, social, or familial responsibilities?* Yes NoAre you unable to make it through the week without Cocaine?* Yes NoHas your Cocaine abuse caused any legal problems for you?* Yes NoYour assessment results are confidential. Please enter your information below to proceed to your results.Name* First Last Email* Medical Disclaimer* I UnderstandMedical Disclaimer: Asheville Recovery Center aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare provider.