Lifelong Recovery

David Taylor BSc. (Hons), FDAP (Accred.), MCMI
Addictions Therapist
T: 0845 313 8478
E: enquiries@lifelongrecovery.co.uk
Home About Us Our Services Self Assessment News Links Contact Us
Providing effective, discreet and affordable solutions to the problems of alcohol and drugs misuse

Alcohol Misuse Self-Assessment

The following self-assessment may help you to decide whether you have a potential problem with your use of alcohol. For an accurate assessment, we would suggest you answer the questions as honestly as possible, and when you are not under the influence of alcohol and/or drugs.

Please answer all of the questions (either yes or no), and then click the SELF-ASSESSMENT button at the bottom of the questionnaire.

1. Do you feel you are a normal drinker ('normal' is defined as
drinking as much or less than most other people)?
Yes No
2. Have you ever awakened the morning after drinking the night before
and found that you could not remember a part of the evening?
Yes No
3. Does any near relative or close friend ever worry or complain about
your drinking?
Yes No
4. Can you stop without difficulty after one or two drinks? Yes No
5. Do you ever feel guilty about your drinking? Yes No
6. Have you ever attended a meeting of Alcoholics Anonymous (AA)? Yes No
7. Have you ever gotten into physical fights when drinking? Yes No
8. Has drinking ever created problems between you and a near
relative or close friend?
Yes No
9. Has any family member or close friend gone to anyone for help
about your drinking?
Yes No
10. Have you ever lost friends because of your drinking? Yes No
11. Have you ever gotten into trouble at work because of drinking? Yes No
12. Have you ever lost a job because of drinking? Yes No
13. Have you ever neglected your obligations, your family or your work
for more than two or more days in a row because you were drinking?
Yes No
14. Do you drink before noon fairly often? Yes No
15. Have you ever been told you have liver trouble, such as cirrhosis? Yes No
16. After heavy drinking have you ever had delirium tremens (DTs),
severe shaking, visual or auditory (hearing) hallucinations?
Yes No
17. Have you ever gone to anyone for help about your drinking? Yes No
18. Have you ever been hospitalised because of drinking? Yes No
19. Has your drinking ever resulted in you being hospitalised in a
psychiatric ward?
Yes No
20. Have you ever gone to any doctor, social worker, clergyman or mental
health clinic for help with any emotional problems in which drinking
was part of the problem?
Yes No
21. Have you been arrested more than once for driving under the influence
of alcohol?
Yes No
22. Have you ever been arrested, or detained by an official for a few hours,
because of other behaviour while drinking?
Yes No

By clicking the SELF-ASSESSMENT button I understand that this self-assessment tool is designed to help me decide whether I have a potential problem with my use of alcohol. I understand that the results are not intended to be a clinical diagnosis and/or clinical recommendation, and will not be interpreted as such.


Copyright 2009 Lifelong Recovery  ::  Privacy policy  ::  Terms & conditions