If you are reading this, it is likely you or someone close is in need of help. To see the reality of your concerns complete the questionnaire. When the questions state: drugs; drink; gambling and eating replace these with relevant behaviours or the emotional turmoil which is personal to you.
Is your drinking/drug use making your home or work life unhappy? YES NO
Do you drink or use drugs 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 got into financial difficulties because of your drinking or drug use? YES NO
Do you turn to lower companions/inferior environment when drinking/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 bingeing 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 gambling 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 jeopardising your job or relationship? 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/institution due to drinking, drug use or eating issues? YES NO
If you answered yes to two or more it is likely you need help.
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