
- 1. After drinking, have you ever noticed an
increase in your heart rate or beating in your chest?
- 2. When talking with others, do you ever underestimate how much
you actually drink?
- 3. Does alcohol make you sleepy so that you often fall asleep in
your chair?
- 4. After a few drinks, have you sometimes not eaten or been able
to skip a meal because you don't feel hungry?
- 5. Does having a few drinks help decrease your shakiness or tremors?
- 6. Does alchohol sometimes make it hard for you to remember parts
of the day or night?
- 7. Do you have rules for yourself that you won't drink before a
certain time in the day?
- 8. Have you lost intrest in hobbies or activities you used to enjoy?
- 9. When you wake up in the morning do you have trouble remembering
part of the night before?
- 10. Does drinking help you sleep?
- 11. Do you hide your alchohol bottles from other family members?
- 12. After a social gathering, have you ever felt embarrassed because
you drank too much?
- 13. Have you ever been concerned that drinking might be harmful
to your health?
- 14. Do you like ending an evening with a night cap?
- 15. Did you find your drinking increased after someone close to
you died?
- 16. In general, would you prefer to have a few drinks at home rather
than go to social events?
- 17. Are you drinking more than in the past?
- 18. Do you usually take a drink to calm or relax your nerves?
- 19. Do you drink to take your mind off your problems?
- 20. Have you ever increased your drinking after experiencing a loss
in your life?
- 21. Do you sometimes drive when you have had too much to drink?
- 22. Has a doctor or nurse said that they were concerned about your
drinking?
- 23. Have you ever made rules to manage your drinking?
- 24. When you feel lonely, does having a drink help?
5 or more "yes" responsenses
may indicate an alchohol problem.
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