Opioid Compliance Checklist

The Opioid Compliance Checklist (OCC) is a self-report measure for chronic pain patients prescribed long-term opioid therapy. The original measure includes 'yes' or 'no' items that reflect the content of a typical opioid therapy agreement.

Checklist:

Lost or misplaced your opioid medications?

Yes No

Run out of your pain medication early?

Yes No

Used any illegal or unauthorized substances?

Yes No

Missed any scheduled medical appointments?

Yes No

Been completely honest about your personal drug use?

Yes No

Likelihood of opioid misuse:

Please answer all 5 questions in the checklist.