Alcohol Addiction Self Assessment Test

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Take the test and call us today, to discuss confidentially. Please check the one response to each item that best describes how you have felt over the past 12 months.

  1. Do you feel you are a normal drinker? (“normal” – drink as much or less than most other people)?
    Yes No
  2. Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening?
    Yes No
  3. Does any near relative or close friend ever worry or complain about your drinking?
    Yes No
  4. Can you stop drinking without difficulty after one or two drinks?
    Yes No
  5. Do you ever feel guilty about your drinking?
    Yes No
  6. Have you ever attended a meeting of Alcoholics Anonymous (AA)?
    Yes No
  7. Have you ever gotten into physical fights when drinking?
    Yes No
  8. Has drinking ever created problems between you and a near relative or close friend?
    Yes No
  9. Has any family member or close friend gone to anyone for help about your drinking?
    Yes No
  10. Have you ever lost friends because of your drinking?
    Yes No
  11. Have you ever gotten into trouble at work because of drinking?
    Yes No
  12. Have you ever lost a job because of drinking?
    Yes No
  13. Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking?
    Yes No
  14. Do you drink before noon fairly often?
    Yes No
  15. Have you ever been told you have liver trouble such as cirrhosis?
    Yes No
  16. After heavy drinking have you ever had delirium tremens (D.T.’s), severe shaking, visual or auditory (hearing) hallucinations?
    Yes No
  17. Have you ever gone to anyone for help about your drinking?
    Yes No
  18. Have you ever been hospitalized because of drinking?
    Yes No
  19. Has your drinking ever resulted in your being hospitalized in a psychiatric ward?
    Yes No
  20. Have you ever gone to any doctor, social worker, clergyman or mental health clinic for help with any emotional problem in which drinking was part of the problem?
    Yes No
  21. Have you been arrested more than once for driving under the influence of alcohol?
    Yes No
  22. Have you ever been arrested, even for a few hours, because of other behavior while drinking?
    Yes No

All calls are treated in the strictest confidence
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For a confidential call back please complete the quick form below and we will contact you

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