Drug Influence Sign & Symptom Check List
 

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Drug Influence Sign and Symptom Checklist:

For the Officer and Investigator

 

By

Thomas E. Page

 

 

The following questions may be used by the officer or investigator to elicit evidence of drug use and/or drug influence.  (Laboratory analyses and their results have not been included.)

 

The interpretation of the indicators should be done by a trained Drug Recognition Expert or medical professional.  The indicators are categorized into the following areas:  Face, Eyes, Speech, Odors, Skin, Clothes, Behavior, Vital Signs, Other.

 

Face:

  • Anything unusual in overall appearance of face?
  • Sweating?
  • Dry face?
  • Flushed?
  • Grimacing?
  • Rigid facial muscles?
  • Grinding teeth?
  • Quick movements?
  • Looking back and forth?
  • Looking up and/or down?
  • Shielding face with hands?
  • Nodding at the neck (on the nod)?
  • Sleepy appearance?
  • Aroused easily?
  • Hyper-alert appearance?
  • Excessive vigilance?
  • Biting lip?
  • Dry lips?
  • Chapped lips?
  • Sniffling?
  • Substances (powder, leafy substance, residue) on face?
  • Burn marks on lips?

           

Eyes:

  • Anything unusual in overall appearance of eyes?
  • Approximate pupil size?
  • How did diameter of pupils compare to the width of iris?
  • How did diameter of pupils compare to others?
  • Pupils approximately equal?
    • In what light levels?
  • Did pupils change in response to light?
  • Did pupils change in response to dark?
  • Dilated (excessively large) pupils?
  • Constricted (excessively small) pupils?
  • Did pupils change in response to viewing an object (accommodation)?
  • Was an artificial light source, such as penlight, used?
  • Was a pupilometer used?
  • Anything unusual in the sclera (whites of the eyes)?
  • Was sclera clear?
  • Bloodshot?
    • Blood vessels visible
    • Pinkish coloring
    • Conjunctival injection?
  • Both eyes the same?
  • Watery appearance?
  • Excessive dryness?
  • Glassy appearance?
  • Excessive blinking?
  • Diminished blinking?
  • Eyelid tremors?
  • Staring inappropriately?
  • Averting eye contact?
  • “Thousand yard” stare?
  • Eye movements:
    • Able to follow stimulus?
    • Both eyes?
    • Visible nystagmus?
      • Gaze evoked?
      • Smooth pursuit?
      • At maximum deviation?
      • Any angle?
      • Vertical nystagmus
    • Convergence?
    • Anything else unusual?
  • Eyelids:
    • Droopy?
      • Covering part of pupil?
      • Both eyes?
    • Retracted?
      • White visible all around eye? 

Speech:

  • Anything unusual?
  • Incomplete sentences?
  • Rambling?
  • Repetitive?
  • Slow?
  • Slurred?
  • Excessively loud?
  • Excessively low volume?
  • Fast?
  • Extremely talkative?
  • Clear?
  • Raspy?
  • Steady pace?
  • Responsive to questions?
  • Appropriate questions, comments?
  • Bizarre?
  • Reporting hallucinations?
  • Reporting delusions?
  • Singing?

 

Odors:

  • Anything unusual?
  • Smoke smell?
  • Alcoholic beverage?
  • Marijuana smell?
    • Similar to burning rope
  • Chemical-type smell?
  • Ether smell?
  • Vomit?
  • Other bodily fluids?
  • On breath?
  • On clothes?
  • Concealment odors, such as mints, breath spray?

 

Skin:

  • Burn marks on hands, fingers?
  • Injection marks?
    • Location on body?
      • Inner arms
      • Top of hands
      • Ankles?
      • Neck?
      • Other?
    • Over vein?
    • Intramuscular?
    • Subcutaneous?
    • Fresh blood?
    • Other fluids?
    • Old scarring?
  • Shivering?
  • Goose Bumps?
  • Hot to touch?

 

Clothes:

  • Unusual stains?
  • Odors?
  • Debris?
  • Plant material?
  • Excessive perspiration?

 

Behavior:

  • Anything unusual about gait?
  • Staggering?
  • Coordination problems?
  • Balance problems?
  • Rigid movements?
  • Tremors?
  • Rigid skeletal muscle tone?
  • Flaccid muscle tone?
  • Fidgety?
  • Cracking knuckles?
  • Tapping feet constantly?
  • Excessive sleepiness?
  • Hyper-alert?
  • Hyper-vigilance?
  • Cooperative?
  • Itching?
    • Around face?
    • Around neck?
    • Other?
  • Inappropriate laughter?
  • Inappropriate crying?
  • Fighting?
  • Hysterical?
  • Mood changes?
  • Cyclical behavior?
  • Aggressive?
  • Lackadaisical?
  • Lethargic?
  • Withdrawn?
  • Secretive?
  • Fast movements?
  • Slow movements?
  • Depth perception problem?
  • Time perception problem?

 

Vitals:

  • Pulse rate?
  • Blood pressure?
  • Temperature?
  • Respirations?

 

Other:

  • Vomiting?
  • Forgetful?
  • Confused/distracted?
  • Oriented to time?
  • Oriented to place?
  • Oriented to circumstances?
  • Hot to touch?
  • Drugs in possession?
  • Drug use paraphernalia?
  • Vials?
  • Drug residue?
    • Powders?
    • Plant material?
    • Other?