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Is My Drinking A Problem?
1.
Do you have more than 1 drink per day?
Always
Sometimes
Never
2.
Does your usual number of drinks have less effect than before?
Always
Sometimes
Never
3.
The day after drinking do you experience anxiety?
Always
Sometimes
Never
4.
When alcohol wears off do you feel shakiness? Or Have you ever felt nauseated, clammy and or sweaty after a night of drinking?
Always
Sometimes
Never
5.
Have you ever set a limit to your drinking and ended up drinking more or longer than you intended?
Always
Sometimes
Never
6.
Have you tried to cut down or stop drinking but couldn’t stay on track with your goal for more than a few weeks or months?
Always
Sometimes
Never
7.
Do you drink only on the weekends but always too much or more than you would prefer?
Always
Sometimes
Never
8.
Have you been drinking for more than 5 years?
Always
Sometimes
Never
9.
Has your drinking been increasing over the past 1-3 years?
Always
Sometimes
Never
10.
Does it take 1-3 days to get over (feel better) the aftereffects of drinking?
Always
Sometimes
Never
11.
Do you hide alcohol? Or Do you hide how much alcohol you are consuming?
Always
Sometimes
Never
12.
Do you cancel plans because you would have to control your drinking? Or do you avoid events that don’t include alcohol?
Always
Sometimes
Never
13.
Have you stopped doing things you enjoy (recreation, exercise, outings) in order to drink?
Always
Sometimes
Never
14.
Have you continued to drink even though you know it contributing to your troubles with anxiety, depression, or other health issue?
Always
Sometimes
Never
15.
Do people ever ask you how you can tolerate the amount of alcohol you can seemingly consume without getting drunk?
Always
Sometimes
Never
16.
Do people ever ask you to moderate your drinking? Or Do people get upset with you about your drinking?
Always
Sometimes
Never
17.
Have you ever felt embarrassed after drinking?
Always
Sometimes
Never
18.
Have you ever felt guilty after drinking?
Always
Sometimes
Never
*
19.
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