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  • Addiction Defined
    Addiction Assessment and Questionnaire

    Do you think you may have a problem with drugs or alcohol? Take the following questionnaire to learn more....

    1. Do you drink or use to feel more confident or overcome shyness? Yes No
    2. Are you having money problems because of drinking or using? Yes No
    3. Are you ever absent from work because of drinking or using? Yes No
    4. Have you been fired or lost a business because of drinking or using? Yes No
    5. Have you been admitted to hospital because of drinking or using? Yes No
    6. Do you have a bad reputation from drinking or using? Yes No
    7. Do you drink or use when you are alone? Yes No
    8. Do you feel remorse after drinking or using? Yes No
    9. Do you drink in the morning? Yes No
    10. Is your family suffering from your drinking or using? Yes No
    11. Do you drink or use to escape your problems? Yes No
    12. Do you make promises to yourself or others about your drinking or using? Yes No
    13. Have you had an accident because of drinking or using? Yes No
    14. Do you have poor judgment about the people you are with and the places you go when you are drinking or using? Yes No
    15. Have you been arrested more than once for drunk driving or driving under the influence of drugs? Yes No
    16. Is your health affected by your drinking or using? Yes No
    17. Do you drink or use to relieve the painfulness of living? Yes No
    18. Once you have started, do you have to keep on drinking or using? Yes No
    19. Do you have blackouts? (Forgetting events that happened or actions you performed while drinking or using?) Yes No
    20. Has as a doctor ever treated you for your drinking or using? Yes No

    Treatment Resources

    Affordable Treatment Locations

    Newport Beach, Ca.

    San Juan Capistrano, Ca.

    Irvine, Ca.

    Las Vegas, Nv.

    San Jose, Ca.

    Wickenburg, Az. (Teens)

    Savannah, Ga. (Non 12-Step)

    Manor, Tx. (Chronic Relapsers)

     
     
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