HELP LINE
866-517-1414
Answer YES or NO to the following questions:  
1Has drinking or drug use affected my health?
2Is my drinking or drug use causing family problems?
3Is my drinking or drug use causing money problems?
4Do I ever stay home from work because of drinking or drugs?
5Have I lost a job or a business because of drinking or drugs?
6Do I drink or use drugs to escape problems?
7Do I drink or use drugs when I am alone?
8Do I ever have a blackout (loss of memory) while drinking or using drugs?
9Do I feel sorry or sad after drinking or using drugs?
10Do I drink or use drugs at a certain time every day?
11Do I drink or use drugs in the morning?
12Have I ever been in a hospital because of alcohol or drugs?
13Has a doctor ever treated me for drinking or drug use?
14Do I have to keep on drinking or using drugs once I start?
15Does drinking or drug use make it hard for me to sleep?
16Have I ever had an accident because of drugs or alcohol?
17Do drugs affect my judgement about the people I'm with and where I go?
18Have I been arrested for driving under the influence of drugs or alcohol?
19Do I drink or use drugs to overcome shyness or gain confidence?
20Do I make and break promises to myself and others about quitting alcohol or drugs?