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Addiction Counseling and Consultation Services, Inc.
1917 Avenue A
Scottsbluff NE 69361
Phone: (308) 633-1390
Fax: (308) 633-1393
E-mail: jrodriguez@accsinc.net
Website: accsinc.net
Answer YES or NO to these 20 questions to help you decide if you are alcoholic.
YES __ NO __ 1. Do you lose time from work due to drinking?
YES __ NO __ 2. Is drinking making your home life unhappy?
YES __ NO __ 3. Do you drink because you are shy around people?
YES __ NO __ 4. Is your drinking affecting your reputation?
YES __ NO __ 5. Have you ever felt remorse after drinking?
YES __ NO __ 6. Has your drinking ever caused financial difficulties?
YES __ NO __ 7. Do you turn to lower companions and inferior environments when drinking?
YES __ NO __ 8. Does your drinking make you careless of your family’s welfare?
YES __ NO __ 9. Has your ambition decreased since drinking?
YES __ NO __ 10. Do you crave a drink at a definite time?
YES __ NO __ 11. Do you want a drink the next morning?
YES __ NO __ 12. Does drinking cause you to have difficulty sleeping?
YES __ NO __ 13. Has your efficiency decreased since drinking?
YES __ NO __ 14. Is drinking jeopardizing your job or business?
YES __ NO __ 15. Do you drink to escape from worries or trouble?
YES __ NO __ 16. Do you drink alone?
YES __ NO __ 17. Have you ever had a complete loss of memory as a result of drinking?
YES __ NO __ 18. Has your physician ever treated you for drinking?
YES __ NO __ 19. Do you drink to build up your self-confidence?
YES __ NO __ 20. Have you ever been to a hospital or institution because of drinking?
What's your score?
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If you answered YES to any one question, it is a definite warning that you may be an alcoholic.
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If you answered YES to any two questions, the chances are that you are an alcoholic.
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If you answered YES to three or more questions, you are definitely an alcoholic.
(These questions are used at Johns Hopkins University Hospital, Baltimore, MD, in deciding whether or not a patient is an alcoholic).
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