Please check yes or no for the following...
Does any family member complain about your drinking/drug use?
No Yes
Do you lose time from work due to drinking/drug use?
No Yes
Is Drinking/drug use making your home life unhappy?
No Yes
Do you drink/use drugs because you are shy with other people?
No Yes
Is drinking/drug use affecting your reputation?
No Yes
Have you ever felt remorse after drinking/drug use?
No Yes
Have you had financial difficulty as a result of drinking/drug use?
No Yes
Do you turn to inferior companions and environments when drinking/drug use?
No Yes
Does your drinking/drug use make you careless of your family's welfare?
No Yes
Has your ambition decreased since drinking/drug use?
No Yes
Do you crave a drink/drug at a definite time daily?
No Yes
Does drinking/drug use cause you to have difficulty in sleeping?
No Yes
Has your efficiency decreased since drinking/drug use?
No Yes
Is drinking/drug use jeopardizing your job or business/family?
No Yes
Do you drink/use drugs to escape from worries or troubles?
No Yes
Do you drink/use drugs alone?
No Yes
Do you drink/use drugs to build self confidence?
No Yes
Have you ever been arrested for a DWI or DUI?
No Yes
Have you often failed to keep a promise to your family or yourself because of your drinking/drug use?
No Yes
If you have answered yes to any of these questions, please give us a call, we would like to help.
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