Self Assessment Form

Self Assessment

* Do you feel that you have a problem with Alcohol or Drugs?
* Are you ever preoccupied with thoughts of drinking or using?
* Do you drink or use alone?
* Do you use regardless of the consequences?
* If you drink, can you stop after one glass? Could you stop drinking if you chose to?
* Have you risked losing your job or family because of your drug or alcohol use?
* Do you avoid social situations where you cannot drink or use?
* Do you hide your use or lie about the extent of your use?
* Are you uncomfortable in social situations without using?
* Do you use drinking or using as a coping mechanism?