Self Assessment In the past month, have you... 1. ...felt trapped, lonely, depressed or hopeless about the future? Yes No 2. ...felt very anxious, or like something bad was going to happen? Yes No 3. ...become very distressed and upset when something reminded you of the past? Yes No 4. ...thought about ending your life? Yes No 5. ...bullied or threatened other people? Yes No 6. ...used alcohol or drugs at least weekly? Yes No 7. ...spent a lot of time getting, using or feeling the effects of alcohol or drugs? Yes No 8. ...kept using alcohol or drugs even though it was causing social problems, leading to fights or getting you into trouble with others? Yes No 9. ...had trouble with your use of alcohol or other drugs affecting important activities at work, home or school? Yes No 10. ...had withdrawal problems from alcohol or other drugs like shaking hands, throwing up or having trouble sleeping or sitting still? Yes No
