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Are you an alcoholic? |
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This brief test is not meant to provide definite clinical evaluations, but can be a good indicator of a potential problem. Answer the following questions honestly to obtain the best results. | |||
| 1. | Do you drink alone? | YES | NO |
| 2. | Does your drinking cause you to lose time from work? | YES | NO |
| 3. | Do you have job problems due to your drinking? | YES | NO |
| 4. | Do you hide your alcohol consumption or the actual alcohol? | YES | NO |
| 5. | Is your drinking making your home life unhappy? | YES | NO |
| 6. | Do you forget things while or after drinking? | YES | NO |
| 7. | Do you drink because you are shy with others? | YES | NO |
| 8. | Do you have health problems caused by your drinking? | YES | NO |
| 9. | Have you ever felt remorse after drinking? | YES | NO |
| 10. | Do you use alcohol to make you relax? | YES | NO |
| 11. | Have you had financial difficulties as a result of drinking? | YES | NO |
| 12. | Have you tried to cut down or quit drinking? | YES | NO |
| 13. | Have you had legal problems due to drinking? | YES | NO |
| 14. | Do you crave a drink at a definite time each day? | YES | NO |
| 15. | Do you want a drink the next morning? | YES | NO |
| 16. | Does drinking cause you to have problems sleeping? | YES | NO |
| 17. | Do you drink to escape from worries or troubles? | YES | NO |
| 18. | Do you feel you have a drinking problem? | YES | NO |
| If you answer YES to three or more questions it may be a signal that an abuse/dependency problem may exist. Call Penfield at (706) 453-7929 for a free confidential screening | |||
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