Answer the questions honestly. Answer “yes” if the statement is true for alcohol or drugs, including any prescribed, recreational, or illegal substances that can be described as mood altering.

Yes No Have you ever tried to stop using alcohol or drugs for a week or so but were unable to do so?

Yes No Do you resent the advice of others who try to get you to stop or cut down your use of alcohol or drugs?

Yes No Have you tried to control your use of alcohol or drugs by changing from one type of drink or drug one type of drink or drug  to another?

Yes No Do you envy people who can use alcohol or drugs without getting into trouble?

Yes No Has your use of alcohol impaired your family relationships, work, driving safely,or any other aspect of your life?

Yes No During the past year, have you missed days of work because of your use of alcohol or drugs?

Yes No Do you tell yourself you can stop using alcohol or drugs anytime you want?

Yes No Do you drink alone?

Yes No Do you ever use alcohol or drugs more than you intended to?

Yes No Do you ever have blackouts related to your alcohol or drug use?

Yes No Do you ever say or do things while drinking or using drugs that you regret?

Yes No Have you ever felt that your life would be better if you did not use alcohol or drugs?

If you answer “yes” to two or more questions, you may have a problem with alcohol or drugs. If so, talk with someone you can trust, such as a member of your family, a health professional, school counselor, minister, or priest. Contact your local health department or check the phone book for information about Alcoholics Anonymous (AA) or Narcotics Anonymous meetings in your area.