Alcoholism Screening Test |
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Please answer yes or no to the following: |
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| 1. | Do you lose time from work due to your drinking? | |
2. |
Is drinking making your home life unhappy? | |
| 3. | Do you drink because you are shy with other people? | |
| 4. | Is drinking affecting your reputation? | |
| 5. | Have you ever felt remorse after drinking? | |
| 6 . | Do you gotten into financial difficulties as a result of your drinking? | |
| 7. | Do you turn to lower companions and an inferior environment when drinking? | |
| 8. | Does your drinking make you careless of your family's welfare? | |
| 9. | Has your ambition decresed since drinking? | |
| 10. | Do you want a drink the next morning? | |
| 11. | Does drinking cause you to have difficulty in sleeping? | |
| 12. | Do your crave a drink at a definite time daily? | |
| 13. | Has your efficiency decreased since drinking? | |
| 14. | Is drinking jeopardizing your job or business? | |
| 15. | Do you drink to escape from worries or troubles? | |
| 16. | Do you drink alone? | |
| 17. | Have you ever had a compelte loss of memory as a result of your drinking? | |
| 18. | Has your physician ever treated you for drinking? | |
| 19. | Do you drink to build up your self-confindence? | |
| 20. | Have you ever been in a hospital or institution on account of drinking? | |
If you answered 3 or more as yes this may be a definite sign that your drinking patterns are harmful and possibly considered alcohol dependent or alcoholic. You may want to seek an evaluation by a healthcare professional. |
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