⚠ Educational Use Only — The DAST-10 is a screening tool, not a diagnostic instrument. It does not provide a clinical diagnosis. If you score 3 or above, or are concerned about substance use, please consult a qualified healthcare professional.
If you need immediate support: SAMHSA's National Helpline — 1-800-662-4357 (free, confidential, 24/7) or text HOME to 741741 (Crisis Text Line).
10Items
0–10Score Range
5Severity Levels
FreeNo Sign-up

Free DAST-10 Drug Abuse Screening Test — Online Scoring & Instant Interpretation

The DAST-10 (Drug Abuse Screening Test) is a validated 10-item Yes/No questionnaire developed by Dr. Harvey Skinner (1982) to screen for drug use problems over the past 12 months. It is recommended by NIDA and widely used in clinical settings. Complete all 10 items, get instant 5-level results, and export a free printable PDF.

Free printable PDF — complete the test, export instantly, no account needed.
Important: What "drug use" means in this test

In this questionnaire, "drug use" refers to: (1) prescribed or over-the-counter medications used in excess of directions, and (2) any non-medical or illicit drug use — including cannabis, cocaine, opioids, stimulants, tranquilizers, barbiturates, hallucinogens, and solvents.

This does NOT include alcohol or tobacco.

ScoreLevelSuggested Action
0No problems reportedNone at this time
1 – 2Low levelMonitor, reassess at a later date
3 – 5Moderate level ← cut-offFurther investigation recommended
6 – 8Substantial levelIntensive assessment recommended
9 – 10Severe levelIntensive assessment & treatment
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In the past 12 months...
Reverse item: This question is worded positively — answering No indicates a problem and scores 1 point.

Question text...

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out of 10 points
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 DAST-10 Score Reference

0No problems reportedNone at this time
1–2Low levelMonitor, reassess later
3–5 ← cut-offModerate levelFurther investigation
6–8Substantial levelIntensive assessment
9–10Severe levelAssessment & treatment
If you are struggling with substance use: Help is available. SAMHSA National Helpline: 1-800-662-4357 (free, confidential, 24/7). You can also text HOME to 741741 (Crisis Text Line). Speaking with a healthcare professional is the recommended next step at this score level.

DAST-10 Score Interpretation

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 Academic Citation

Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7(4), 363–371. https://doi.org/10.1016/0306-4603(82)90005-3 Yudko, E., Lozhkina, O., & Fouts, A. (2007). A comprehensive review of the psychometric properties of the DAST. Journal of Substance Abuse Treatment, 32(2), 189–198.

How to Use This Free DAST-10 Drug Abuse Screening Test

Step 01

Read the definition

"Drug use" in the DAST-10 means prescribed/OTC medication misuse and illicit drug use. It explicitly excludes alcohol and tobacco. Answer based on the past 12 months.

Step 02

Answer 10 Yes/No items

Each item is answered Yes or No. Question 3 is reverse-scored — a No answer scores 1 point (inability to stop using drugs = a problem). The tool is auto-saved throughout.

Step 03

Get 5-level results

Your score (0–10) is classified into five levels with a suggested action. The clinical cut-off is 3 — scores of 3 or above indicate a positive screen warranting further investigation.

Step 04

Export free PDF

Save your complete DAST-10 results — score, 5-level interpretation, suggested action, and scoring reference — as a formatted PDF to share with a healthcare provider.

The DAST-10 cut-off score of 3: A score of 3 or above is the most widely used clinical threshold for a positive DAST-10 screen, indicating a moderate level of drug-related problems where further professional assessment is recommended. The DAST-10 is recommended by NIDA (National Institute on Drug Abuse), included in electronic health record systems, and listed in the CARF Behavioral Health Standards Manual as an effective screening tool. Internal consistency is strong (Cronbach's α = 0.81 across 40 years of research). The DAST-10 is published by CAMH (Centre for Addiction and Mental Health) and is available for clinical and research use.

DAST-10 Test: Score Interpretation, Reverse Scoring & Cut-Off Explained

The Drug Abuse Screening Test (DAST-10) was developed by Dr. Harvey Skinner and published in Addictive Behaviors (1982). It is a streamlined 10-item version of the original 28-item DAST, validated across more than 40 years of research and 346 published studies (Cronbach's α = 0.81). It is recommended by NIDA, included in electronic health record systems, and listed in the CARF Behavioral Health Standards Manual. The DAST-10 is published by CAMH (Centre for Addiction and Mental Health) and is available for clinical and research use.

DAST-10 Scoring: The Five Levels Explained

The DAST-10 uses Yes/No responses. Each Yes answer scores 1 point — except Question 3 (reverse-scored), where No scores 1 point. Total score ranges from 0 to 10 across five severity levels. Score 0: no drug-related problems reported — no action indicated. Score 1–2: low level of drug-related problems — monitoring and reassessment recommended. Score 3–5: moderate level — the most widely used clinical cut-off point; further professional investigation recommended. Score 6–8: substantial level — intensive assessment and likely intervention recommended. Score 9–10: severe level — intensive assessment and treatment recommended.

DAST-10 Reverse Scoring: Question 3 Explained

Question 3 asks "Are you always able to stop using drugs when you want to?" — a positively worded item unlike the other nine. This reversal is intentional: it varies the cognitive pattern to maintain attention and tests a different dimension of drug use (inability to control use). A "No" response — meaning the person cannot always stop — indicates a drug-related problem and scores 1 point. A "Yes" response scores 0 points. If you have never used drugs, you should answer "Yes" (meaning you can always stop, because you never use), which correctly scores 0 points.

What the DAST-10 Does and Does Not Include

The DAST-10 explicitly excludes alcohol and tobacco. It covers only prescribed or over-the-counter medications used in excess of the directions, and any non-medical or illicit drug use — including cannabis, cocaine, opioids, stimulants (e.g., speed), tranquilizers (e.g., Valium), barbiturates, hallucinogens (e.g., LSD), and solvents. For alcohol screening, complementary tools include the AUDIT (Alcohol Use Disorders Identification Test) and the CAGE questionnaire. The DAST-10 and AUDIT are frequently used together in comprehensive substance use screenings.

DAST-10 vs AUDIT: key differences in substance use screening
FeatureDAST-10AUDIT
Target substanceDrugs and medication misuse only (excludes alcohol, tobacco)Alcohol only (excludes drugs)
Response formatBinary Yes/No — presence of behavioral outcomesMulti-point frequency scales
Clinical cut-offScore ≥ 3 = positive screenScore ≥ 8 (men), ≥ 6 (women) = hazardous use
Items10 items (~2 min)10 items (~2 min)
Combined useOften used together for a complete substance use screening

Frequently Asked Questions

What is the DAST-10 and how is it scored?

The DAST-10 is a validated 10-item Yes/No drug abuse screening test (Skinner, 1982). Each Yes = 1 point, except Question 3 (reverse-scored: No = 1 point). Score range 0–10. Levels: 0 = none, 1–2 = low, 3–5 = moderate (cut-off), 6–8 = substantial, 9–10 = severe.

Why is Question 3 reverse-scored?

Question 3 ("Are you always able to stop using drugs when you want to?") is positively worded. Answering No means you cannot stop — which is a drug-related problem scoring 1 point. If you never use drugs, answer Yes (scores 0). All other items: Yes = 1 point.

Does the DAST-10 include alcohol or tobacco?

No. The DAST-10 explicitly excludes alcohol and tobacco. It covers prescribed/OTC medication misuse and illicit drug use only. For alcohol: use the AUDIT or CAGE questionnaire.

What does a DAST-10 score of 3 or above mean?

Score ≥ 3 is the most widely used clinical cut-off for a positive DAST-10 screen, indicating a moderate level of drug-related problems where further professional assessment is recommended.

Is this DAST-10 test free?

Yes — completely free, no account or sign-up required. Complete all 10 items for instant results and a free printable PDF.

Does this replace a professional evaluation?

No. The DAST-10 is a screening tool, not a diagnostic instrument. If you score 3 or above, please consult a qualified healthcare professional. For immediate support: SAMHSA National Helpline 1-800-662-4357 (free, confidential, 24/7).