1. Do you feel you are a normal drinker?
1 yes
2 no
2. Have you ever realized you don't remember periods of time when you were drinking?
2 yes
1 no
3. Do people close to you complain of your drinking?
2 yes
1 no
4. Do you ever feel guilty about your drinking?
2 yes
1 no
5. Do your friends or relatives think you are a normal drinker?
1 yes
2 no
6. Can you stop drinking when you want to?
1 yes
2 no
7. Have you ever been violent when drinking
2 yes
1 no
8. Has drinking ever caused problems between you and your family members?
2 yes
1 no
9. Has any close relative gone to someone for help about your drinking?
2 yes
1 no
10. Have you ever lost friends because of your drinking?
2 yes
1 no
11. Have you ever had problems at work because of your drinking?
2 yes
1 no
12. Have you ever lost a job because of effects, or use, of alcohol.
2 yes
1 no
13. Have you ever neglected obligations, your family, or work for 2 or more days because you were drinking?
2 yes
1 no
14. Do you drink before noon fairly often?
2 yes
1 no
15. After heavy drinking have you ever had DT's or severe shaking, seen things or heard voices that weren't there?
2 yes
1 no
16. Have you ever gone to anyone for help about your drinking?
2 yes
1 no
17. Have you ever been in a hospital because of your drinking?
2 yes
1 no
18. Have you ever sought professional help for an emotional problem where drinking was part of the problem?
2 yes
1 no
19. Have you ever been arrested for drunk driving while under the influence of alcohol?
2 yes
1 no
20. Have you ever been arrested or detained because of drunken behavior?
2 yes
1 no
Add up your score and follow the links for a full evaluation.
This scale is for your entertainment only and is not to be used as a diagnostic tool or in lieu of professional help.
Add up your score and Click here for results
No comments:
Post a Comment