Takes ~4 minutes • 29 questions
Choose the response that best describes your alcohol use and how it affects you.
Base your answers on the past 3–4 weeks, and try to answer every question.
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Do you find yourself craving alcohol at a particular time most days?
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Do you often drink alone?
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Do you drink to feel more comfortable in social situations?
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Do you use alcohol to escape worries or stress?
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Have you missed work or important duties because of drinking?
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While drinking, have you heard things that weren’t actually there?
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Do you end up in places or company you usually avoid when drinking?
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Do you sometimes want a drink first thing in the morning?
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When drinking, have you noticed your heart racing?
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Do your hands shake or do you feel trembly when sobering up?
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Have you tried to cut down on drinking and found it difficult?
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Do you feel unusually hot or sweaty after drinking?
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Have you felt sensations on your skin that weren’t real after drinking?
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Does drinking make it harder for you to sleep?
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Has drinking made you less attentive to your family’s needs?
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Has your ambition or motivation dropped since you started drinking more?
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Do you have odd or frightening sensations while drinking?
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Has your efficiency or productivity decreased due to alcohol?
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Do you often feel regret or remorse after drinking?
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Have you ever had memory gaps or ‘blackouts’ from drinking?
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After drinking, have you seen things that weren’t there?
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Has alcohol led to money problems for you?
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Have you ever had severe withdrawal symptoms (like delirium) after heavy drinking?
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Has drinking affected your reputation?
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Has drinking put your job or business at risk?
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Has alcohol made your home life tense or unhappy?
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Do you get physically ill (e.g., nausea, cramps) from drinking?
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After a period of not drinking, do you return to heavy use?
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Do you panic at the thought of not having alcohol when you want it?