Alcohol Addiction Self Assessment

Answer the following questions honestly to get an indication of your relationship with alcohol. This is not a diagnostic tool, but a guide for self-reflection.

1. In the past year, have you often ended up drinking more alcohol or for a longer time than you intended?

Yes, very often Sometimes Rarely Never

2. Have you wanted to cut down or stop drinking, or have you tried to, but couldn’t?

Yes, multiple times Yes, once or twice Considered it, but haven’t tried No, never

3. Has your drinking caused you to neglect your responsibilities at work, school, or home?

Yes, frequently Yes, occasionally Rarely, but it has happened No, never

4. Have you continued to drink even though it was causing problems with your family or friends, or affecting your health?

Yes, despite severe problems Yes, occasionally despite problems Aware of problems, but haven’t stopped No, never

5. Have you given up or cut back on activities that were important or interesting to you, or that you once enjoyed, in order to drink?

Yes, many activities Yes, a few activities Considered it, but haven’t No, never

6. Have you engaged in risky behaviors while drinking, such as driving, operating machinery, or having unprotected sex?

Yes, frequently Yes, occasionally Once or twice No, never

7. Do you hide your drinking from others or lie about how much you drink?

Yes, often Sometimes Rarely No, never

8. Have you withdrawn from friends or family members due to your drinking, or do you prefer to drink alone?

Yes, often Sometimes Rarely No, never

9. Have you found that you need to drink a lot more alcohol than you once did to get the effect you want?

Yes, significantly more Yes, somewhat more A little more No, the same amount

10. When the effects of alcohol were wearing off, have you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, or a seizure?

Yes, severe symptoms Yes, mild to moderate symptoms Occasionally, very mild symptoms No, never

11. Have you had a strong craving or urge to drink alcohol?

Yes, very often and intense Sometimes Rarely No, never

12. Have you experienced significant mood swings, increased irritability, or aggression related to your drinking?

Yes, often Sometimes Rarely No, never

13. Have you had memory lapses or “blackouts” where you couldn’t remember what happened while you were drinking?

Yes, often Yes, a few times Once No, never

Alcohol Addiction Self-Assessment

1. In the past year, have you often ended up drinking more alcohol or for a longer time than you intended?

2. Have you wanted to cut down or stop drinking, or have you tried to, but couldn’t?

3. Has your drinking caused you to neglect your responsibilities at work, school, or home?

4. Have you continued to drink even though it was causing problems with your family or friends, or affecting your health?

5. Have you given up or cut back on activities that were important or interesting to you, or that you once enjoyed, in order to drink?

6. Have you engaged in risky behaviors while drinking, such as driving, operating machinery, or having unprotected sex?

7. Do you hide your drinking from others or lie about how much you drink?

8. Have you withdrawn from friends or family members due to your drinking, or do you prefer to drink alone?

9. Have you found that you need to drink a lot more alcohol than you once did to get the effect you want?

10. When the effects of alcohol were wearing off, have you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, or a seizure?

11. Have you had a strong craving or urge to drink alcohol?

12. Have you experienced significant mood swings, increased irritability, or aggression related to your drinking?

13. Have you had memory lapses or “blackouts” where you couldn’t remember what happened while you were drinking?

Your Self-Assessment Results