¹
Yes
No
1
Do you feel you are a normal drinker?
2
Do friends or relatives think you are a normal drinker?
3
Have you ever attended a meeting of Alcoholics Anonymous (AA)?
4
Have you ever lost friends or girlfriends/boyfriends because of drinking?
5
Have you ever gotten into trouble at work because of drinking?
6
Have you ever neglected your obligations, your family or your work for two or more days in a row because you were drinking?
7
Have you ever had delirium tremens (DTs), severe shaking, heard voices or seen things that weren't there after heavy drinking?
8
Have you ever gone to anyone for help about your drinking?
9
Have you ever been in a hospital because of drinking?
10
Have you ever been arrested for drunk driving after drinking?