Self Assessment

Do you ever use alcohol or drugs alone?

  • Have you ever substituted one drug for another, thinking that one particular drug was the problem?
  • Have you ever manipulated or lied to a doctor to obtain prescription drugs?
  • Have you ever stolen drugs or alcohol or stolen to obtain drugs or alcohol?
  • Do you regularly drink or use a drug when you wake up or when you go to bed?
  • Have you ever taken one drug to overcome the effects of another?
  • Do you avoid people or places that do not approve of your drinking or using drugs?
  • Have you ever used a drug without knowing what it was or what it would do to you?
  • Has your job or school performance ever suffered from the effects of your alcohol or drug use?
  • Have you ever been arrested as a result of drinking or using drugs?
  • Have you ever lied about what or how much you use?
  • Do you put the purchase of alcohol or drugs ahead of your financial responsibilities?
  • Have you ever tried to stop or control your drinking or using?
  • Have you ever been in a jail, hospital, or drug rehabilitation center because of your drinking or using?
  • Does using alcohol or drugs interfere with your sleeping or eating?
  • Does the thought of running out of alcohol or drugs terrify you?
  • Do you feel it is impossible for you to live without using alcohol or drugs?
  • Do you ever question your own sanity?
  • Is your alcohol or drug use causing problems at home?
  • Have you ever thought you could not fit in or have a good time without alcohol or drugs?
  • Have you ever felt defensive, guilty, or ashamed about your drinking or using?
  • Do you think a lot about drinking or using drugs?
  • Have you had irrational or indefinable fears?
  • Has drinking or using affected your sexual relationships?
  • Have you ever taken drugs or alcohol that you did not prefer simply for the effect?
  • Have you ever used drugs or alcohol because of emotional pain or stress?
  • Have you ever overdosed on any drugs?
  • Have you ever experienced a “Blackout”?
  • Do you continue to use drugs or alcohol despite negative consequences?
  • Do you think you might have a drug or alcohol problem?
32,10,0,70,1
600,600,60,1,3000,5000,25,800
90,150,1,70,12,30,50,1,70,12,1,50,1,1,1,5000
Body
Mind
Spirit
Relationships
Alcohol