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UPM Assessment

Your answers are confidential, will be shredded after you have been assigned to a class, cannot be used to charge additional violations, and will not be kept in your court file. Completion of this questionnaire is voluntary, but if you choose not to complete the questionnaire the judge will not have sufficient information to assign you to a class. She may then need to refer you for a substance use evaluation at your expense.

Be sure to answer the questions honestly. If the judge has reason to question the results of your substance use screen (e.g., inconsistent with other information concerning your case), she may require you to get a substance use evaluation by a certified counselor. Evaluations cost $200 and up.
1. Personal information (optional)
Gender
2. Have you used any cannabis over the past six months?
3. How often do you use cannabis?
4. How many hours were you 'stoned' on a typical day when using cannabis?
5. How often during the last 6 months did you found that you were not able to stop using cannabis once you had started?
6. How often during the last 6 months did you fail to do what was normally expected from you because of cannabis?
7. How often in the last 6 months have you devoted a great deal of time to getting, using, or recovering from cannabis?
8. How often in the last 6 months have you had a problem with your memory or concentration after using cannabis?
9. How often do you use cannabis in situations that could be physically hazardous, such as driving, operating machinery, or caring for children?
10. Have you ever thought about cutting down, or stopping, your use of cannabis?
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