Test Yes FormsBlair Patterson2023-01-20T04:55:58-08:00 Self-Test for Alcohol Addiction 1. HOW OFTEN DO YOU HAVE A DRINK CONTAINING ALCOHOL? Never (score 0) Monthly or Less (score 1) 2-4 times a month (score 2) 2-3 times a week (score 3) 4 or more times a week (score 4) 2. HOW MANY ALCOHOLIC DRINKS DO YOU HAVE ON A TYPICAL DAY WHEN YOU ARE DRINKING? 1 or 2 (0) 3 or 4 (1) 5 or 6 (2) 7-9 (3) 10 or more (4) 3. HOW OFTEN DO YOU HAVE 6 OR MORE DRINKS ON ONE OCCASION? Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) 4. HOW OFTEN DURING THE PAST YEAR HAVE YOU FOUND THAT YOU DRANK MORE OR FOR A LONGER TIME THAN YOU INTENDED? Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) 5. HOW OFTEN DURING THE PAST YEAR HAVE YOU FAILED TO DO WHAT WAS NORMALLY EXPECTED OF YOU BECAUSE OF YOUR DRINKING? Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) 6. HOW OFTEN DURING THE PAST YEAR HAVE YOU HAD A DRINK IN THE MORNING TO GET YOURSELF GOING AFTER A HEAVY DRINKING SESSION? Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) 7. HOW OFTEN DURING THE PAST YEAR HAVE YOU FELT GUILTY OR REMORSEFUL AFTER DRINKING? Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) 8. HOW OFTEN DURING THE PAST YEAR HAVE YOU BEEN UNABLE TO REMEMBER WHAT HAPPENED THE NIGHT BEFORE BECAUSE OF YOUR DRINKING? Never (0) Less than monthly (1) Monthly (2) Weekly (3) Daily or almost daily (4) 9. HAVE YOU OR ANYONE ELSE BEEN INJURED AS A RESULT OF YOUR DRINKING? No (0) Yes, but not in the past year (2) Yes, during the past year (4) 10. HAS A RELATIVE, FRIEND, DOCTOR, OR HEALTH CARE WORKER BEEN CONCERNED ABOUT YOUR DRINKING, OR SUGGESTED THAT YOU CUT DOWN? No (0) Yes, but not in the past year (2) Yes, during the past year (4) Number of "Yes"Yes: 0
