SELF TEST

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Do you lose time from work due to your drinking or drug use?	YES	NO
Is your drinking/drug use making your home life unhappy?	YES	NO
Do you drink or drug because you are shy with other people?	YES	NO
Is drinking or drug use affecting your reputation?	YES	NO
Have you ever felt remorse after drinking or drug use?	YES	NO
Have you gotten into financial difficulties because of your drinking or drug use?	YES	NO
Do you turn to lower companions and inferior environment when drinking or using drugs?	YES	NO
Does your drinking or drug use make you careless of your family's welfare?	YES	NO
Has your ambition decreased since drinking or using drugs?	YES	NO
Do you crave a drink or a drug at a definite time daily?	YES	NO
Do you want a drink or drug the next morning?	YES	NO
Does drinking or drug use cause you difficulty in sleeping?	YES	NO
Has your efficiency decreased since drinking or using drugs?	YES	NO
Is drinking or drug use jeopardizing your job or business?	YES	NO
Do you drink or use drugs to escape from worries or troubles?	YES	NO
Do you drink or use drugs alone?	YES	NO
Have you ever had a complete loss of memory as a result of your drinking or drug use?	YES	NO
Has your physician ever treated you for drinking or drug use?	YES	NO
Do you drink or use drugs to build up your self confidence?	YES	NO
Have you ever been in a hospital or institution as a result of drinking or drug use?	YES	NO

Self Test

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