Home Page My Journey What is Imago Individuals Couples Forms Self Assessment Contact Me

1. National Council on Alcoholism and Drug Abuse (Instrument #1) | 2. Johns Hopkins University Drinking Scale (Instrument #2)
3. Michigan Alcoholism Screening Test (MAST) (Instrument #3) | 4. 12 questions of Alcoholics Anonymous (Instrument #4)

Self Assessment Instrument #4
WHAT ARE THE SIGNS OF ALCOHOLISM?
12 questions of Alcoholics Anonymous

This is a self-assessment test to help you review the role alcohol is playing in your life. These questions incorporate many of the common symptoms of alcoholism. This test is intended to help you determine if you or someone you know needs to find out more about alcoholism.
   
Yes
No
1.
Have you ever decided to stop drinking for a week or so, but only lasted for a couple of days?
   
2.
Do you wish people would mind their own business about your drinking - stop telling you what to do?
   
3.
Have you ever switched from one kind of drink to another in the hope that this would keep you from getting drunk?
   
4.
Have you ever had an "eye-opener" upon awakening during the past year?
   
5.
Do you envy people who can drink without getting into trouble?
   
6.
Have you ever had problems connected with your drinking during the past year?
   
7.
Has your drinking caused trouble at home?
   
8.
Do you ever try to get "extra" drinks at a party because you do not get enough?
   
9.
Do you tell yourself you can stop drinking any time you want to, even though you keep getting drunk when you don't mean to?
   
10.
Have you missed days of work or school because of drinking?
   
11.
Have you had "blackouts"?
   
12.
Have you ever felt that your life would be better if you did not drink?
Assessment Score:

 

If you answered "YES" to four or more of the questions above, you are probably in trouble with alcohol.

Back to Top


Dita Teitelbaum, MSW LCSW
14440 SW 80th Avenue
Miami, FL 33158
Phone: 305-251-8609
Fax: 305-251-8609