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Online Assessment

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

Your details:

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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 wonтАЩt 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 тАЬblackoutsтАЭ recently?*
Do you usually have a reason for the occasions when you use/drink heavily?*
When youтАЩre 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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