Do you have an alcohol abuse problem?

How many days/nights a week do you drink?
0
1-2
3-5
6-7
How many drinks do you have per night on occasion?
1-2
3-5
5-8
8+
Do you only drink socially or find yourself drinking alone?
Only on social occasions
Always alone
Sometimes alone
On social occasions
Once you start drinking do you often have a hard time stopping drinking?
Yes
No
Sometimes
Do you find yourself wanting a drink when a problem occurs in your life?
Yes
No
Sometimes
Have you ever been told you drink too much or have other people been concerned about how much you drink?
On multiple occasions
Once or twice
Never
A few times
Has drinking ever damaged your relationship with those around you?
Yes
No
I don't know
When you drink do you experience "blackouts"?
Always
Sometimes
Often
Never
Do you feel as if you need to drink to function at social events?
Always
Sometimes
Often
Never
In your experience has drinking ever jeopardized your ability to attend work or other obligations?
Yes
Never
Once or twice
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