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Are you an Alcoholic? To answer this question ask yourself the following 20 questions and answer them as honestly as you can. |
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| 1. | Do you lose time from work due to drinking? | □ | □ |
| 2. | Is drinking making your home life unhappy? | □ | □ |
| 3. | Do you drink because you are shy with other people? | □ | □ |
| 4. | Is drinking affecting your reputation? | □ | □ |
| 5. | Have you ever felt remorse after drinking? | □ | □ |
| 6. | Have you got into financial difficulties as a result of drinking? | □ | □ |
| 7. | Do you turn to lower companions and an inferior environment when drinking? | □ | □ |
| 8. | Does your drinking make you careless of your family's welfare? | □ | □ |
| 9. | Has your ambition decreased since drinking? | □ | □ |
| 10. | Do you crave a drink at a definite time daily? | □ | □ |
| 11. | Do you want a drink the next morning? | □ | □ |
| 12. | Does drinking cause you to have difficulty sleeping? | □ | □ |
| 13. | Has your efficiency decreased since drinking? | □ | □ |
| 14. | Is drinking jeopardizing your job or business? | □ | □ |
| 15. | Do you drink to escape from worries or trouble? | □ | □ |
| 16. | Do you drink alone? | □ | □ |
| 17. | Have you ever had a complete loss of memory as a result of drinking? | □ | □ |
| 18. | Has your physician ever treated you for drinking? | □ | □ |
| 19. | Do you drink to build up your self-confidence? | □ | □ |
| 20. | Have you ever been to a hospital or institution on account of drinking? | □ | □ |
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| If you have answered YES to any of the questions, there is a definite warning that you may be alcoholic. | |||
| If you have answered YES to any 2, the chances are that you are an alcoholic. | |||
| If you have answered YES to 3 or more, you are definitely an alcoholic. | |||
| How many questions did YOU answer YES to? | |||
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[The foregoing Test Questions are used by John Hopkins University Hospital, Baltimore, MD. to help in determining whether or not a patient is an alcoholic.] | |||
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