¹
Yes
No
1
Do you feel you are a normal drinker?
2
Does your wife (or parents) ever worry or complain about your drinking?
3
Do you ever feel bad about your drinking?
4
Do friends or relatives think you are a normal drinker?
5
Are you always able to stop drinking when you want to?
6
Have you ever attended a meeting of Alcoholics Anonymous (AA)?
7
Has drinking ever created problems between you and your wife?
8
Have you ever gotten into trouble at work because of 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, even for a few hours, because of drunk behavior?
13
Have you ever been arrested for drunk driving after drinking?