Alcohol Use Questionnaire
Are you familiar with the signs of alcohol abuse or dependence? The following questionnaire will help you to gauge your own drinking habits, and whether or not they are cause for concern. Please read the following statements, recording the indicated numeric score for each true or false response.
1. I use alcohol to help me deal with stress.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
2. I tend to enjoy myself more when I am drinking.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
3. At times, I have thought to myself that I might have a problem with alcohol.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
4. It takes more alcohol for me to “catch a buzz” than it used to.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
5. On two or more occasions I have driven after having too much to drink.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
6. On more than one occasion I have said or done things that I regret because I drank too much alcohol.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
7. My drinking has hurt, worried or upset someone I am close to.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
8. On more than one occasion I have missed work or school because of alcohol.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
9. My friends or family members worry about my drinking.
((If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
10. I have tried more than once to cut down, or control my drinking, and failed.
(If answer is yes, give yourself 1 point.)
(If answer is no, give yourself 0 points.)
Results
Total your score. If your score is:
7-11 points: Your answers to the quiz are consistent with symptoms associated with alcohol dependence. Alcohol dependence is characterized by repeated harmful consequences. Please consider seeking professional help. You should know that alcoholism is a highly treatable illness. Explore this site to learn more.
4-6 points: on your answers to the questions in the quiz, you have some of the symptoms or behaviors that are consistent with alcohol abuse and/or early dependence. Examine specific items you endorsed and determine if the issue is an isolated incident or recurring problem. Please consider seeking professional help.
2-3 points: Based on your answers to the questions in the quiz, you may have some factors associated with alcohol abuse. You should examine the items you endorsed and assess how alcohol affects you. If you are not sure, talk with a trusted friend or family member who will be honest and objective with you.
0-1 point: Congratulations. Your score indicates that presently you have none of the common symptoms associated with alcohol abuse or dependence.
By Drew W. Edwards, MS, EdD, and Mark Gold, MD
© 1999-2012 Lifescape
|