Quiz Yourself Below

Do I need help?

Answer each of the questions below:Yes No

Have you lost time from work due to drinking or drug use?

Has drinking or drug use made your home life unhappy?

Do you drink or use drugs because you are shy with people?

Has drinking or taking drugs affected your reputation?

Have you gotten into financial difficulties because of your drinking or drug use?

Do you spend more time with people who have lost families and/or jobs due to their drinking or drug usage?

Does drinking or taking drugs make you careless of your family’s welfare?

Has drinking or taking drugs decreased your ambition?

Do you want a drink or drug “the morning after”?

Does drinking or taking drugs cause you to have difficulty sleeping?

Has your efficiency decreased due to drinking or taking drugs?

Has drinking or taking drugs ever jeopardized your job or business?

Do you drink or take drugs to escape from worries or troubles?

Do you drink or take drugs alone?

Have you ever had a complete loss of memory as a result of drinking or taking drugs?

Has your physician ever treated you for drinking or taking drugs?

Do you drink or take drugs to build up self-confidence?

Have you ever been in an institution or hospital because of drinking or taking drugs?

Have you ever felt remorse after drinking or taking drugs?

Do you crave a drink or a drug at a definite time daily?

If you answered yes to as few as three questions, you can be reasonably certain that alcohol has become, or is becoming a personal problem.

Your score will be shown here

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Note: this is not a secure form. If you have any concerns about submitting your information online, please send an email with your info to MPI@sutterhealth.org.