ALCOHOLISM SCREENING This is a free and anonymous self-scoring test that helps assess if you have a drinking problem. It is not a diagnostic tool. Instructions: Please indicate with a "YES" or a "NO" if you agree truthfully with the following statements. 1. I drink more than most people. Yes No 2. I drink to calm my nerves down. Yes No 3. I need to drink to warm up before I go out. Yes No 4. I often cannot recall what I did the night before when drinking. Yes No 5. I have attended an Alcoholic Anonymous (AA) meeting. Yes No 6. I have gotten into physical fights after drinking. Yes No 7. I tend to become argumentative after drinking. Yes No 8. My partner, my parent or a close friend complain or worry about my drinking. Yes No 9. I cannot stop drinking easily after I have one or two drinks. Yes No 10. I have felt guilty after drinking. Yes No 11. My partner, a close friend, or family member has asked for help about my drinking. Yes No 12. I have lost friends because of my drinking. Yes No 13. I have had negative consequences in my job or school because of drinking. Yes No 14. I have been irresponsible with my family obligations because of my drinking. Yes No 15. I often drink in the morning. Yes No 16. I have had abnormal lab liver results related to my drinking. Yes No 17. I have experienced severe shaking and visual or auditory hallucinations after I stop drinking. Yes No 18. I have asked for help for my drinking. Yes No 19. I have blood relatives who are /have been heavy drinkers or alcoholics. Yes No 20. I have been arrested for driving under the influence of alcohol. Yes No 21. I have been arrested for behavior related to drinking. Yes No Time's up TEAM: Dr. Connie Capdevila Brophy, Clinical Psychologist, Psychotherapist, and Mediator Dr. Diego Palao, General and Adult Psychiatrist Dr. Elena Padrell, General and Adult Psychiatrist