|
![]() ![]() | |||
Are you or others concerned about your use of alcohol or other chemicals?
Your answers to the following questions may assist you in that awareness.
| Yes | No | ||
| 1. | Have you lost time from work due to drinking or other chemical usage? | ||
| 2. | Does drinking or chemical use cause your home life to be unhappy? | ||
| 3. | Has your drinking or using caused money problems? | ||
| 4. | Do you or have you associated with people you didn't respect, or hung out in places you didn't want to be in when drinking or using? | ||
| 5. | Does your drinking or using cause you to be careless about your family's welfare? | ||
| 6. | Do you need a drink or use a chemical "the morning after"? | ||
| 7. | Do you drink or use chemicals to escape from problems or worries? | ||
| 8. | Have you ever experienced a complete loss of memory following drinking or using chemicals? | ||
| 9. | Have you ever been arrested or hospitalized due to drinking or using chemicals? | ||
| 10. | Have you ever felt guilty after drinking or using chemicals? |
If you have answered "yes" to any of the above questions, you may have a problem with alcohol and/or other chemicals.