Do you have a problem?
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.
|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:
Two or more “YES” answers:
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.