Addiction Assessment
Just To Be Sure! Just In Case! The Need To Know!
Do you feel the need to drink or use drugs first thing in the morning? *
Required
Do friends or family express concerns about your drinking or drug use and behavior? *
Required
Do you crave alcohol or drugs, or find your concentration is affected by thoughts of drinking/ using? *
Required
Do you use alcohol or drugs to escape from your problems or to manage feelings of stress, anxiety or sleeplessness? *
Required
Do you use alcohol or drugs to overcome shyness or to make you feel more confident? *
Required
Can you stop drinking or using drugs if you want to? *
Required
Have you ever had a blackout, loss of memory or seizure as a result of drinking or using drugs? *
Required
Have you ever lost friends or a relationship because of drinking or using drugs? *
Required
Has drinking or using drugs affected your general health and well-being? *
Required
Have you ever become aggressive under the influence of alcohol or drugs? *
Required
Have you ever stolen or sold personal belongings to fund your alcohol or drug use? *
Required
Have you ever been arrested when you have been under the influence of alcohol or drugs? *
Required
Have you ever sought treatment, help or support for alcohol or drug abuse? *
Required
Submit
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy