Am I an Alcoholic? - Recovery Center at Manning Regional Healthcare Center

Directions:

The following questions are a self-test to help you review the role that alcohol plays in your life. Remember that the questions do not include other drugs taken for medical and non-medical uses.

Do you try to avoid family or close friends while you are drinking?

Yes No None

Do you drink heavily when you are disappointed, under pressure or have had a quarrel with someone?

Yes No None

Can you handle more alcohol now than when you first started to drink?

Yes No None

Have you ever been unable to remember part of the previous evening, even though your friends say you didn't pass out?

Yes No None

When drinking with other people, do you try to have a few extra drinks when others won't know about it?

Yes No None

Do you sometimes feel uncomfortable if alcohol is not available?

Yes No None

Are you more in a hurry to get your first drink of the day than you used to be?

Yes No None

Do you sometimes feel a little guilty about your drinking?

Yes No None

Has a family member or close friend expressed concern or complained about your drinking?

Yes No None

Have you been having more memory blackouts recently?

Yes No None

Do you often want to continue drinking after your friends say they've had enough?

Yes No None

Do you usually have a reason for the occasions when you drink heavily?

Yes No None

When you're sober, do you sometimes regret things you did or said while drinking?

Yes No None

Have you tried switching brands or drinks, or following different plans to control your drinking?

Yes No None

Have you sometimes failed to keep promises you made to yourself about controlling or cutting down on your drinking?

Yes No None

Have you ever had a DWI driving while intoxicated or DUI driving under the influence of alcohol violation, or any other legal problem related to your drinking?

Yes No None

Are you having more financial, work, school, and/or family problems as a result of your drinking?

Yes No None

Has your physician ever advised you to cut down on your drinking?

Yes No None

Do you eat very little or irregularly during the periods when you are drinking?

Yes No None

Do you sometimes have the shakes in the morning and find that it helps to have a little drink, tranquilizer or medication of some kind?

Yes No None

Have you recently noticed that you can't drink as much as you used to?

Yes No None

Do you sometimes stay drunk for several days at a time?

Yes No None

After periods of drinking do you sometimes see or hear things that aren't there?

Yes No None

Have you ever gone to anyone for help about your drinking?

Yes No None

Do you ever feel depressed or anxious before, during or after periods of heavy drinking?

Yes No None

Have any of your blood relatives ever had a problem with alcohol?

Yes No None

Name (optional)

Address (optional)

Phone (optional)

I would like one of the trusted Recovery Center counselors to contact me.

By Phone

By Email

Time's up

Disclaimer: The results of this self-test are not intended to constitute a diagnosis of alcoholism and should be used solely as a guide to understanding your alcohol use and the potential health issues involved with it. The information provided here cannot substitute for a full evaluation by a health professional.