Alcoholic Self Test Do you try to avoid family or close friends while you are drinking? Yes No Do you drink heavily when you are disappointed, under pressure or have had a quarrel with someone? Yes No Can you handle more alcohol now than when you first started to drink? Yes No Have you ever been unable to remember part of the previous evening, even though your friends say you didn't pass out? Yes No When drinking with other people, do you try to have a few extra drinks when others won't know about it? Yes No Do you sometimes feel uncomfortable if alcohol is not available? Yes No Are you more in a hurry to get your first drink of the day than you used to be? Yes No Do you sometimes feel a little guilty about your drinking? Yes No Has a family member or close friend expressed concern or complained about your drinking? Yes No Have you been having more memory blackouts recently? Yes No Do you often want to continue drinking after your friends say they've had enough? Yes No Do you usually have a reason for the occasions when you drink heavily? Yes No When you're sober, do you sometimes regret things you did or said while drinking? Yes No Have you tried switching brands or drinks, or following different plans to control your drinking? Yes No Have you sometimes failed to keep promises you made to yourself about controlling or cutting down on your drinking? Yes No 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 Are you having more financial, work, school, and/or family problems as a result of your drinking? Yes No Has your physician ever advised you to cut down on your drinking? Yes No Do you eat very little or irregularly during the periods when you are drinking? Yes No 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 Have you recently noticed that you can't drink as much as you used to? Yes No Do you sometimes stay drunk for several days at a time? Yes No After periods of drinking do you sometimes see or hear things that aren't there? Yes No Have you ever gone to anyone for help about your drinking? Yes No Do you ever feel depressed or anxious before, during or after periods of heavy drinking? Yes No Have any of your blood relatives ever had a problem with alcohol? Yes No Email 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 Doolittlemolly2020-05-01T13:33:15-05:00August 10th, 2018|
