• 1. Do you lose time from work due to drinking or using drugs?
  
   Yes
   No
  
  
• 2. Is drinking or using drugs making your home life unhappy?
  
   Yes
   No
  
  
• 3. Do you drink or use drugs because you are shy with other people?
  
   Yes
   No
  
  
• 4. Is your drinking or using drugs affecting your reputation?
  
   Yes
   No
  
  
• 5. Have you ever felt remorse after drinking or using drugs?
  
   Yes
   No
  
  
• 6. Have you ever got into financial difficulties as a result of drinking or using drugs?
  
   Yes
   No
  
  
• 7. Do you turn to lower companions and an inferior environment when drinking or using drugs?
  
   Yes
   No
  
  
• 8. Does your drinking or using drugs make you careless of your family’s welfare?
  
   Yes
   No
  
  
• 9. Has your ambition decreased since drinking or using drugs?
  
   Yes
   No
  
  
• 10. Do you crave a drink or drugs at a definite time?
  
   Yes
   No
  
  
• 11. Do you want a drink or drugs the next morning?
  
   Yes
   No
  
  
• 12. Does drinking or using drugs cause you to have difficulty in sleeping?
  
   Yes
   No
  
  
• 13. Has your efficiency decreased since drinking or using drugs?
  
   Yes
   No
  
  
• 14. Is drinking or using drugs jeopardizing your job or business?
  
   Yes
   No
  
  
• 15. Do you drink or use drugs to escape from worries or trouble?
  
   Yes
   No
  
  
• 16. Do you drink or use drugs alone?
  
   Yes
   No
  
  
• 17. Have you ever had a complete loss of memory as a result of drinking or using drugs?
  
   Yes
   No
  
  
• 18. Has your physician ever treated you for drinking or using drugs?
  
   Yes
   No
  
  
• 19. Do you drink or use drugs to build up your self-confidence?
  
   Yes
   No
  
  
• 20. Have you ever been to a hospital or institution because of drinking or using drugs?
  
   Yes
   No
  
  

What's your score?

• If your final score is 1, there is a definite warning that you may have a drug or alcohol problem.
• If your final score is 2, the chances are high that you have a drug or alcohol problem.
• If you scored 3 or higher, you definitely have a drug or alcohol problem and should seek help immediately. Call Astoria Pointe toll-free at 877.435.7790.

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