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Online Assessment

In the following self-assessment, please answer the questions honestly either yes or no:

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Is your using or drinking increasing in amount?
Have you felt decrease in effect?
Have you ever felt any withdrawal symptoms or shakes?
Ever taken in larger amounts and for longer periods than intended?
Any repeated unsuccessful attempt to quit?
In the past have you been in trouble at school, work or with the law as a result of drinking or drug use?
In the past year has your drug use or drinking caused problems at home with your family, children, parents or spouse?
Use continues despite knowledge of adverse consequences or against professional advice?
When drinking with other people, do you try to have a few extra drinks when others won’t know about it?
Do you use or drink alone?
Do you sometimes feel a little guilty about your drinking or using?
Has a family member or close friend express concern or complained about your using/drinking?
Have you been having more memory “blackouts” recently?
Do you usually have a reason for the occasions when you use/drink heavily?
When you’re sober, do you sometimes regret things you did or said while using/drinking?
Have you sometimes failed to keep promises you made to yourself about controlling or cutting down?
Do you try to avoid family or close friends while you are using/drinking?
Have you ever gone to anyone for help?
Have you experienced any seizures?
Detox required?

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