Questionnaire for Identifying Early Signs of Alcoholism Test - the question form
Questions: 35 · 7 minutes
1. Do you usually keep a supply of alcoholic beverages at home?
Yes
No
2. Are you easily persuaded in an argument?
Yes
No
3. Would you give up the idea of having a drink if you were a little short of money?
Yes
No
4. Is it true that it takes a lot of evidence to convince people of something being true?
Yes
No
5. Have you ever had to borrow money to buy alcohol?
Yes
No
6. Is it true that most people are honest only because they are afraid of being caught cheating?
Yes
No
7. Do you feel that your family life is as good as that of most people you know?
Yes
No
8. Do you sometimes feel an urge to start a fight with someone?
Yes
No
9. Do you ever have periods when you have done something and later did not know what you had done?
Yes
No
10. Is it true that conflict over one drink too many often destroys a family?
Yes
No
11. Do you not care what other people think of you?
Yes
No
12. Do you think that long toasts interfere with enjoying a social meal with drinks?
Yes
No
13. Is it true that wives are often to blame for their husbands drinking heavily?
Yes
No
14. Have your relatives often been hostile toward your acquaintances?
Yes
No
15. Do you consider it disrespectful to the group if someone refuses a drink, citing their health?
Yes
No
16. Is it true that the only interesting section in newspapers is the humor section?
Yes
No
17. Is it foolish to condemn someone for deceiving a person who allows themselves to be deceived?
Yes
No
18. Do you justify a supervisor reprimanding someone who comes to work hungover after a memorial gathering?
Yes
No
19. In the middle of a drinking session, do you think about saving some alcohol for the next morning?
Yes
No
20. Have you ever regretted (or felt embarrassed about) your behavior while intoxicated that you do not remember yourself?
Yes
No
21. Before doing something, do you usually need to stop and think, even about small things?
Yes
No
22. Can a moderate drinker end up in a sobering-up station by accident?
Yes
No
23. Does your desire to drink decrease after a hearty meal?
Yes
No
24. Do you feel that the future is so uncertain that it is pointless to make any serious plans?
Yes
No
25. Do you play dominoes or checkers in the yard after work?
Yes
No
26. Do thoughts about an upcoming drink change your mood?
Yes
No
27. Do you ever need a drink in the morning to relieve a hangover?
Yes
No
28. Do you sometimes not remember the next morning what you did while intoxicated the day before?
Yes
No
29. Do you limit how much your guests drink when they are at your home?
Yes
No
30. Do you often feel unwell the day after drinking?
Yes
No
31. Do you find it easy to change your mind when you previously felt your decision was final?
Yes
No
32. Have you ever occasionally regretted not having enough to drink?
Yes
No
33. Have you noticed that you have become slower and more sluggish, with less energy than before?
Yes
No
34. After sleeping, do you feel tired and worn out (not rested)?
Yes
No
35. Have you noticed that work you used to do feels harder and requires more effort?
Yes
No