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Alice
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Welcome Abroad!
Personal Details
Initial Test
Let's start with the basic information
Choose your avatar
Choose
bear
boar
ferret
fox
owl
racoon
wolf
greyWolf
Male
Female
Other
By selecting next, you have read and agreed to
Alice's Terms and Conditions.
Answer the following questions
(Leave out not applicable questions)
How often do you use narcotic/s?
Daily
Weekly
Monthly
How strong is your craving for narcotics? (1 - Low, 10 - Strong)
1-4
4-6
7-10
Has the recurrent use of narcotics resulted in a failure to fulfill major role obligations at work, school or home?
Yes
No
Have you withdrawn from social or recreational activities?
Yes
No
Have you used narcotics in any situation in which it is physically hazardous?
Yes
No
Do you know the implications of using narcotics?
Yes
No
Do you require an increased amount of narcotics to achieve the desired effect?
Yes
No
Have you taken other narcotics to avoid withdraw symptoms?
Yes
No
Please enter the narcotics you are addicted to: