Alcoholism | Screen Your Self

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Self Screen for Alcohol Problems

I am a:
Male

Female

When drinking how many drinks do you usualy have in a typical day?

In any one week in the past year what is the most number of drinks you have had?

Has anyone ever told you, or have you ever felt you should cutdown on your drinking?
Yes

Have you ever become annoyed with anyone for talking about the amount you drink?
Yes

Have you ever felt guilty about your drinking?
Yes

Have you ever felt that you needed a drink first thing in the morning?
Yes