1. On waking and before first dose of opiates. |
||||
My body aches or feels stiff: |
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Almost Never |
Sometimes |
Often |
Nearly Always |
|
I get stomach cramps |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I feel sick |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I notice my heart pounding |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I have hot and cold flushes |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I feel miserable or depressed |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I feel tense or panicky |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I feel irritable or angry |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I feel restless and unable to relax |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
I have a strong craving |
||||
Never |
Almost Never |
Sometimes |
Often |
Nearly Always |
I try to save some opiates to use on waking |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
The first thing I think of doing when I wake up is to take some opiates |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
When I wake up I take opiates to stop myself aching or felling stiff |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
Please think of your opiate use during a typical period of drug taking when answering the following questions |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
Did you think your opiate use was out of control? |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
Did the prospect of missing a fix (or dose) make you very anxious or worried? |
Almost Never |
Sometimes |
Often |
Nearly Always |
Did you worry about your opiate use? |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
Did you wish you could stop? |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
How difficult would you find it to stop or go without? |
||||
|
Almost Never |
Sometimes |
Often |
Nearly Always |
|
||||
|
|
|
TOTAL SCORE |
/63 |