An affirmative response to three or more questions is consistent with a diagnosis of alcohol dependence. |
1. Is your drinking a problem for you? (By problem we mean do you drink more than other people.) |
2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? |
3. Do you ever feel guilty about your drinking? |
4. Do friends or relatives think you have a drinking problem? |
5. Are you unable to stop drinking when you want to? |
6. Have you ever attended a meeting of Alcoholics Anonymous (AA)? |
7. Has your drinking ever created problems between you and your wife, husband, a parent or other near relative? |
8. Have you ever gotten into trouble at work because of your drinking? |
9. Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking? |
10. Have you ever gone to anyone for help about your drinking? |
11. Have you ever been in a hospital because of drinking? |
12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? |
13. Have you ever been arrested, even for a few hours, because of other drunken behavior? |