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Intervention Assessment

Use this quick little quiz only as a tool to help determine if you or a
loved one may have an alcohol or drug problem.

Yes No
 1. Do you/or a loved one lose time from work due to your drinking or drug use?
 2. Is drinking or using drugs making your/or a loved ones home life unhappy?
 3. Do you/or a loved one drink or use drugs because you are shy with other people?
 4. Is drinking or drug use affecting your/or a loved ones reputation?
 5. Have you/or a loved one ever felt remorse after drinking or using drugs?
 6. Have you/or a loved one gotten into financial difficulties as a result of your/his or her drinking or drug use?
 7. Do you/or a loved one turn to lower companions and an inferior environment when drinking or using drugs?
 8. Does your/or a loved ones drinking or drug use make you careless of your/his or her family's welfare?
 9. Has your/or a loved ones ambition decreased since drinking or using drugs?
10. Do you want a drink or use drugs if and when you wake up the next morning?
11. Does drinking or using drugs cause you to have difficulty in sleeping?
12. Do you/or a loved one crave a drink or use drugs at a definite time daily?
13. Has your/or a loved ones efficiency decreased since drinking or using drugs?
14. Is drinking or using drugs jeopardizing your/or a loved ones job or business?
15. Do you/or a loved one drink or use drugs to escape from worries or troubles?
16. Do you/or a loved one drink or use drugs alone?
17. Have you/or a loved one ever had a complete loss of memory as a result of your/his or her using drugs or drinking?
18. Has your/or a loved ones physician ever treated you/him or her for drinking or drug use?
19. Do you/or a loved one drink use drugs to build up your/his or her self-confidence?
20. Have you/or a loved one ever been in a hospital or institution on account of using drugs or drinking?
21. Have you/or a loved one ever been arrested for drunken driving, driving while intoxicated or high, or driving under the influence of alcoholic beverages or under the influence of drugs?
22. Has your/or a loved ones drinking or using drugs ever created problems between you/his or her and your/their wife, husband, a parent or other near relative ?

If you answer yes (or you thought "sometimes; but I'll check no anyway") to four or more of the questions above, please consider calling the drug and alcohol intervention experts at Interventions For Recovery for a more in-depth assessment.

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If you are in need of immediate help
please call our Hotline Now

800-338-1984

At Interventions For Recovery addiction is viewed as a physical disease which can be medically treated. Addiction is not a mental or moral problem, or a disgrace.

If you need help, or just have a question,
please contact us today.

800-338-1984

 

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