Self Help Tool

Where do you live?

What substance(s) do you use?

Alcohol

Amphetamine (speed)

Benzodiazepines (Valium/Xanax)

Cannabis

Cocaine

Crack cocaine

Gabapentinoids (pregabalin/gabapentin)

GHB/GBL

Heroin

Image and Performance Enhancement Drugs (including steroids)

Ketamine

Mephedrone (M-CAT)

Methamphetamine (crystal meth)

MDMA/Ecstasy

Nitrous Oxide (Nos)

Painkillers

Psychedelics (e.g. magic mushrooms/LSD/DMT)

Study drugs (e.g. Adderall/Modafinil)

Synthetic Cannabinoids (Spice)

Unprescribed Opioid Substitution Therapy (Methadone/Buprenorphine)

How frequently do you have a drink containing alcohol?

Daily

4 or more times a week

2-3 times a week

2-4 times a month

Monthly or less

How frequently do you use amphetamine?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use benzodiazepines?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use cannabis?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use cocaine?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use crack cocaine?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use gabapentinoids?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use GHB/GBL?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use heroin?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use Image and Performance Enhancing Drugs?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use ketamine?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use mephedrone?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use methamphetamine?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use MDMA/ecstasy?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use nitrous oxide?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use painkillers?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use psychedelics?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use study drugs?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use synthetic cannabinoids?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

How frequently do you use illicit OST?

More than 5 days each week

3-5 days per week

1-2 days per week

Once every 2 weeks

Monthly or less

Do you inject drugs?

Yes

What changes, if any, do you want to make?

I want to reduce or stop my use

I want some information and advice

Do you need help with any of the following?

Housing

Physical health

Mental health and wellbeing

Family and relationships

Safety

Money

Employment, education, volunteering, and training

Crime and offending

Which of the following (if any) apply to you?

I am homeless (including sofa surfing) or at risk of becoming homeless

There are people living in or using my accommodation, who I don’t want to be there

Which of the following (if any) apply to you?

I feel like my substance use is affecting my physical health

I feel like I can’t access health services because of my substance use

I am worried about having any blood-borne viruses (e.g. HIV or Hepatitis)

Which of the following (if any) apply to you?

I feel low or depressed

I feel worried or anxious

I often have trouble sleeping

I often get annoyed or angry

I sometimes feel like hurting myself

I often eat too much or too little

I have thoughts about suicide

Which of the following (if any) apply to you?

I’m worried about the impact that my substance use is having on my relationships, family or friends

I feel like I am being threatening or abusive to someone

I am a parent and I need some support

Which of the following (if any) apply to you?

I feel threatened or abused by a partner, family member or friend

I feel threatened or exploited by someone in relation to my substance use

Which of the following (if any) apply to you?

I need help budgeting

I need help to understand or apply for benefits

I can't afford essentials like food, bills or rent

I worry about debt

I gamble and bet more than I can afford to lose

Which of the following (if any) apply to you?

I am in employment, education, volunteering or training and I am worried about the impact my substance use is having on it

I want to get into employment, education, volunteering or training

Which of the following (if any) apply to you?

I want some more information about my rights in relation to the law

I want some information about what happens if I have been arrested and support I can get

I need help because of my past offending

I have been told I need to engage with drug and alcohol treatment services