Alcoholism Screening

16th September 2016

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.

2. 

I drink to calm my nerves down.

3. 

I need to drink to warm up before I go out.

4. 

I often cannot recall what I did the night before when drinking.

5. 

I have attended an Alcoholic Anonymous (AA) meeting.

6. 

I have gotten into physical fights after drinking.

7. 

I tend to become argumentative after drinking.

8. 

My partner, my parent or a close friend complain or worry about my drinking.

9. 

I cannot stop drinking easily after I have one or two drinks.

10. 

I have felt guilty after drinking.

11. 

My partner, a close friend, or family member has asked for help about my drinking.

12. 

I have lost friends because of my drinking.

13. 

I have had negative consequences in my job or school because of drinking.

14. 

I have been irresponsible with my family obligations because of my drinking.

15. 

I often drink in the morning.

16. 

I have had abnormal lab liver results related to my drinking.

17. 

I have experienced severe shaking and visual or auditory hallucinations after I stop drinking.

18. 

I have asked for help for my drinking.

19. 

I have blood relatives who are /have been heavy drinkers or alcoholics.

20. 

I have been arrested for driving under the influence of alcohol.

21. 

I have been arrested for behavior related to drinking.