Call us now! Open 24/7
International: +44 345 222 3508

Do you suspect you or a loved one could be addicted to drugs? If so, complete the below drug addiction questionnaire. Doing so will assist you in determining whether or not a drug addiction has arisen.

Name Email Phone Number
1.

Do you avoid family and friends because of your drinking?

2.

Do you drink alcohol to suppress negative emotions such as stress, disappointment and anger?

3.

Has your tolerance for alcohol increased significantly since you first began to drink?

4.

Have you ever experienced a blackout because of your drinking so you are unable to recall part of the previous evening when you drank?

5.

When drinking with friends, do you attempt to drink a few extra drinks whilst these people are not looking?

6.

Do you experience anxiety when you know alcohol will not be accessible for you, even if it is just for a few hours?

7.

Do you feel emotionally hurried to drink the first drink of the day?

8.

Do you experience guilt and shame because of your drinking?

9.

Do family members or friends express concern about your drinking?

10.

Do you continue to drink even when you friends or loved ones say they cannot drink anymore?

11.

Do you drink heavily even though there is no social reason to do so?

12.

Following a drinking session, do you ever experience regret for the things you have said or done whilst drunk?

13.

Do you regularly tell yourself you will never drink again but this promise always falls flat?

14.

Have you ever drunk alcohol whilst at work?

15.

Is alcohol disrupting work, school or family life?

16.

Has your doctor advised you to either stop or cut down on your drinking?

17.

Do you ever drink a little alcohol to stop your hands from shaking?

18.

Have you sought help for your drinking?

19.

Does your drinking help to ease the symptoms of depression or anxiety?

20.

Have blood relatives suffered from alcoholism in the past or currently?