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1. Yes No Do you feel you are a normal drinker? (If you are a total abstainer, select Yes).
2. Yes No Have you ever wakened the morning after some drinking the night before and found that you could not remember part of the evening before?
3. Yes No Does your spouse (boyfriend/girlfriend) or a parent ever worry or complain about your drinking?
4. Yes No Can you stop drinking without a struggle after one or two drinks?
5. Yes No Do you feel bad about your drinking?
6. Yes No Do friends or relatives think you are a normal drinker?
7. Yes No Do you ever try to limit your drinking to certain times of day or certain places?
8. Yes No Are you always able to stop drinking when you want to?
9. Yes No Have you ever attended a meeting of Alcoholics Anonymous (AA)?
10. Yes No Have you ever gotten into fights when drinking?
11. Yes No Has drinking ever created problems with your spouse/boyfriend/girlfriend?
12. Yes No Has your spouse/boyfriend/girlfriend or other family member ever gone to anyone for help about your drinking?
13. Yes No Have you ever lost friends or dates because of drinking?
14. Yes No Have you ever gotten into trouble at work because of drinking?
15. Yes No Have you ever lost a job because of drinking?
16. Yes No Have you ever neglected your obligations, your family, or your work for more than two days in a row?
17. Yes No Do you ever drink before noon?
18. Yes No Have you ever been told you have liver trouble? Cirrhosis?
19. Yes No Have you ever had delirium tremens (Dts) or severe shaking, heard voices, or seen things that weren’t there after heavy drinking?
20. Yes No Have you gone to anyone for help about your drinking?
21. Yes No Have you ever been in a hospital because of drinking?
22. Yes No Have you ever been in a psychiatric hospital or psychiatric ward of general hospital where drinking was the problem?
23. Yes No Have you ever gone to a psychiatric or mental health clinic or to a doctor, social worker, or clergy man for help with an emotional problem in which drinking had played a part?
24. Yes No Have you ever been arrested, even for a few hours, because of drunk behavior?
25. Yes No Have you ever been arrested for drunk driving after drinking?
Press to update the totals.
Your Score:
Score |
Evaluation |
0-3: |
You are most likely a nonalcoholic. |
4: |
You may be an alcoholic. |
5 or more: |
You almost definitely are an alcoholic. See a health professional about this. |
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