Am I an alcoholic?

For a free indicator please complete the questionaire and submit the form below.

Your contact and personal details will not be passed on to any individual or organisation.

Please answer the questions honestly. There is no disgrace in facing up to the fact that you have a problem.

Have you ever decided to stop drinking for a week or so, but only lasted for a couple of days?

We made all kinds of promises to ourselves and to our families. We could not keep them.

Yes No

Do you wish people would mind their own business about your drinking-- stop telling you what to do?

Yes No

Have you ever switched from one kind of drink to another in the hope that this would keep you from getting drunk?

We tried all kinds of ways. We made our drinks weak. Or just drank beer. Or we did not drink cocktails. Or only drank on weekends. You name it, we tried it. But if we drank anything with alcohol in it, we usually got drunk eventually.

Yes No

Have you had to have a drink in the morning during the past year? Do you need a drink to get started, or to stop shaking? This is a pretty sure sign that you are not drinking socially.

Yes No

Do you envy people who can drink without getting into trouble?

At one time or another, most of us have wondered why we were not like most people, who really can take it or leave it.

Yes No

Have you had problems connected with drinking during the past year? Be honest! Doctors say that if you have a problem with alcohol and keep on drinking, it will get worse -- never better. Eventually, you will die, or end up in an institution for the rest of your life. The only hope is to stop drinking.

Yes No

Has your drinking caused trouble at home?

Most alcoholics said that it was the people or problems at home that made us drink. We could not see that our drinking just made everything worse. It never solved problems anywhere.

Yes No

Do you ever try to get "extra" drinks at a party because you do not get enough?

Most of us used to have a "few" before we started out if we thought it was going to be that kind of party. And if drinks were not served fast enough, we would go some place else to get more.

Yes No

Do you tell yourself you can stop drinking any time you want to, even though you keep getting drunk when you don't mean to?

Many of us kidded ourselves into thinking that we drank because we wanted to. We found out that once we started to drink, we couldn't stop.

Yes No

Have you missed days of work because of drinking?

Many of us admit now that we "called in sick" lots of times when the truth was that we were hung-over or on a drunk.

Yes No

Do you have "blackouts"?

A "blackout" is when there are drinking hours or days we cannot remember. We found out that this is a pretty sure sign of alcoholic drinking.

Yes No

Have you ever felt that your life would be better if you did not drink?

Many of us started to drink because drinking made life seem better, at least for a while. We felt trapped. We were drinking to live and living to drink. We were sick and tired of being sick and tired.

Yes No


Count the number of times you have answered yes and enter the number



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