Am I an alcoholic/addict?

This questionnaire is designed to help you answer that question.

The truth is.....only you can answer that question for yourself.

1. Do you lose time from work due to drinking/using? YES __ NO __

2. Is drinking/using making your home life unhappy? YES __ NO __

3. Do you drink/drug because you are shy with other people? YES __ NO __

4. Is your drinking/using affecting your reputation? YES __ NO __

5. Have you ever felt guilt or remorse after drinking/using? YES __ NO __

6. Have you ever got into financial difficulties as a result of drinking/using? YES __ NO __

7. Do you turn to lower companions and an inferior environment when drinking/using? YES __ NO __

8. Does your drinking/using make you careless of your family’s welfare? YES __ NO __

9. Has your ambition decreased since drinking/using? YES __ NO __

10. Do you crave a drink/drugs at a definite time? YES __ NO __

11. Do you want a drink/drug the next morning? YES __ NO __

12. Does drinking/using cause you to have difficulty in sleeping? YES __ NO __

13. Has your efficiency decreased since drinking? YES __ NO __

14. Is drinking/using jeopardizing your job or business? YES __ NO __

15. Do you drink/get high to escape from worries or trouble? YES __ NO __

16. Do you drink/drug alone? YES __ NO __

17. Have you ever had a complete loss of memory as a result of drinking/using? YES __ NO __

18. Has your physician ever treated you for drinking/using? YES __ NO __

19. Do you drink/use to build up your self-confidence? YES __ NO __

20. Have you ever been to a hospital or institution because of drinking/drug use? YES __ NO __

If you have answered YES to any one of the questions, there is a definite warning that you may be an alcoholic/addict

If you have answered YES to any two, the chances are that you are an alcoholic/addict.

If you answered YES to three or more, you are definitely an alcoholic/addict.