| 1. Do you feel you are a normal drinker? |
yes |
no |
| 2. Do your spouse or parents worry or complain about your
drinking? |
yes |
no |
| 3. Do you ever feel bad about your drinking? |
yes |
no |
4. Do friends or relatives think you are a normal drinker?
|
yes |
no |
| 5. Are you always able to stop drinking when you want to? |
yes |
no |
| 6 . Have you ever attended a meeting of Alcoholics Anonymous? |
yes |
no |
| 7. Has drinking ever created problems between you and your spouse? |
yes |
no |
| 8. Have you ever gotten into trouble at work because of drinking? |
yes |
no |
9. Have you ever neglected your obligations, your family,
or your work for 2 or more days in a row because you were drinking? |
yes |
no |
| 10. Have you ever gone to anyone for help about your drinking? |
yes |
no |
| 11. Have you ever been in the hospital because of drinking? |
yes |
no |
| 12. Have you ever been arrested even for a few hours because of
drinking? |
yes |
no |
| 13. Have you ever been arrested for drunk driving or driving
after drinking? |
yes |
no |