| Please answer Yes or No to the following questions:
1) Have you tried to not drink or use drugs for a short period
of time without success?
Yes
No
2) Has anyone ever told you that you should cut back on your drinking?
Yes
No
3) Have you tried to change from one drug or substance to another, hoping that things would get better?
Yes
No
4) Do you sometimes drink or use drugs alone?
Yes
No
5) Have you ever exaggerated your symptoms to a doctor to get a prescription?
Yes
No
6) Do you wish you could control your use?
Yes
No
7) Have you ever had any legal problems because of your use?
Yes
No
8) Has your drinking or drug use caused trouble with your family?
Yes
No
9) Do you hide alcohol or drugs around the house?
Yes
No
10) Do you tell yourself you can stop any time you want to, even though you keep using when you don’t intend to?
Yes
No
11) Have you been absent from work or school due to drinking or drug use?
Yes
No
12) Have you woken up in the morning and found you couldn’t remember the night before?
Yes
No
13) Do you find yourself preoccupied during the day about drinking or using after work?
Yes
No
14) Have you ever thought that your life would be better if you did not drink or use drugs?
Yes
No
15) Do you drink or use drugs to cope with stress?
Yes
No
16) Do you spend money on alcohol or drugs and later, get behind in normal bills?
Yes
No
If you answered yes to four or more of these questions, you are probably in trouble with alcohol or drugs.
You should seek further counsel about your use (see our resource list for additional information). |