Alcohol and Drug Services, Inc.

Alcoholism Screening Test

Please fill out this form and find out if you are showing signs of Alcoholism.

Do you feel you are a normal drinker?
- Yes
- No
Have you ever awakened the morning after some drinking the night before and found that you could not remember part of the evening before?
- Yes
- No
Does your wife, husband or parents ever worry or complain about your drinking?
- Yes
- No
Can you stop drinking without a struggle after one or two drinks?
- Yes
- No
Do you ever feel bad about your drinking?
- Yes
- No
Do friends or relatives think you are a normal drinker?
- Yes
- No
Do you ever try to limit your drinking to certain times of the day or to certain places?
- Yes
- No
Are you always able to stop drinking when you want to?
- Yes
- No
Have you ever attended a meeting of Alcoholics Anonymous AA?
- Yes
- No
Have you gotten into fights when drinking?
- Yes
- No
Has drinking ever created problems with you and your wife, husband?
- Yes
- No
Has your wife, husband or other family member ever gone to anyone for help about your drinking?
- Yes
- No
Have you ever lost friends or girlfriends/boyfriends because of your drinking?
- Yes
- No
Have you ever gotten into trouble at work because of drinking?
- Yes
- No
Have you ever lost a job because of drinking?
- Yes
- No
Have you ever neglected your obligations, your family, or your work for 2 or more days in a row because you were drinking?
- Yes
- No
Do you ever drink before noon?
- Yes
- No
Have you ever been told you have liver trouble? Cirrhosis?
- Yes
- No
Have you ever had delirium tremens DTs, severe shaking, after heavy drinking?
- Yes
- No
Have you ever gone to anyone for help about your drinking?
- Yes
- No
Have you ever been in a hospital because of your drinking?
- Yes
- No
Have you ever been a patient in a psychiatric hospital or on a psychiatric ward of a general hospital where drinking was part of the problem?
- Yes
- No
Have you ever been seen at a psychiatric or mental health clinic, or gone to a doctor, social worker, or clergyman for help with an emotional problem in which drinking has played a part?
- Yes
- No
Have you ever been arrested, even for a few hours, because of drunk behavior?
- Yes
- No
Have you ever been arrested for drunk driving or driving after drinking?
- Yes
- No
Your Score

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(570) 820-8888

Alcoholism Screening Test

Do you have a
gambling problem?

WVADS Inc. Location

Stay Connected

(570) 820-8888

Alcoholism Screening Test

Do you have agambling problem?

WVADS Inc. Location

Stay Connected

Do you have a
gambling problem?