Do you have a problem?
Need help, or need to talk with someone? You can call us toll-free at 888-446-5952 or reach out to us via WhatsApp.
If you are unsure if you have a problem, please check out our self-questionnaire to find out if you have a problem.
Please note that this form does not record any information and is completely a private self-test. It is just a simple yes or no that you can use to see if you might have a problem.
| Questions | Yes | NO |
| Do you drink or use it to overcome shyness or to feel more confident? | ||
| Are you having money troubles because of drinking or using? | ||
| Do you ever stay home from work because of drinking or using? | ||
| Is drinking or using causing trouble in your family? | ||
| Is drinking or using giving you a bad reputation? | ||
| Have you lost a job or a business because of drinking or using? | ||
| Do you drink or use it to escape your problems? | ||
| Do you drink or use it when you are alone? | ||
| Do you have blackouts? (Loss of memory for events that happened or of actions you performed while drinking or using?) | ||
| Do you feel remorse after drinking or using? | ||
| Do you need a drink at a definite time every day? | ||
| Do you drink in the morning? | ||
| Have you ever been in a hospital because of drinking or using? | ||
| Has a doctor ever treated you for your drinking or using? | ||
| Do you drink or use too much at the wrong time? | ||
| Do you make promises to yourself or others about your drinking or using? | ||
| Do you have to keep on drinking or using once you have started? | ||
| Is drinking or using making it hard for you to sleep? | ||
| Have you had an accident because of drinking or using? | ||
| Do you drink or use it to relieve the painfulness of living? | ||
| Do you have trouble disposing of cans or bottles? | ||
| Are you less particular about the people you are with and the places you go when drinking or using? | ||
| Have you been arrested more than once for drunk driving or driving under the influence of drugs? | ||
| Has drinking or using it affected your health? |
One “YES” answer:
BE AWARE. You may have or develop a problem with alcohol or other drugs.
Two or more “YES” answers:
Indicates you have problems with alcohol and/or drugs and should seek help immediately.
This self-test will not 100% say you have an addiction issue. If you believe you have or may have a problem with alcohol or other drugs. Give us a call and one of our consultants will give you a free consultation.
Need help, or need to talk with someone? You can call us toll-free at 888-446-5952 or reach out to us via WhatsApp.