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Alcohol Abuse


Alcohol Use Questionnaire

Physician-developed and -monitored.

Original Date of Publication: 03 Apr 2001
Reviewed by: Debra Emmite, M.D., Stanley J. Swierzewski, III, M.D.
Last Reviewed: 31 Mar 2008

Original Source: http://www.mentalhealthchannel.net/alcohol.shtml

Home » Alcohol Abuse » Alcohol Use Questionnaire

This calculator can help determine if you should see a health care professional regarding your alcohol use. This test should only be used as a guideline. It does not replace a formal evaluation.

1. Do you drink? Yes No
2. Have you ever wondered if you drink too much? Yes No
3. Do you ever drink more than you intend to? Yes No
4. Has there been any change in your tolerance of alcohol? Yes No
5. Has drinking ever caused any problems in your life?" Yes No
6. Has a family member ever been concerned about your drinking? Yes No
7. Have you ever decided to quit drinking for a while or cut down your drinking? Yes No
8. Have you felt guilty about your drinking? Yes No
9. Have you ever used sleeping pills, tranquilizers or other drugs? Yes No


Result:

Alcohol Abuse, Alcohol Use Questionnaire reprinted with permission from mentalhealthchannel.net
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