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1. How often do you find yourself drinking alcohol?(Required)

2. When you drink alcohol, do you tend to drink more than you planned?(Required)

3. Have you ever tried to cut back or stop drinking, but found it difficult?(Required)

4. Do you experience cravings or urges to drink alcohol, even when it’s not an appropriate time?(Required)

5. How does alcohol affect your ability to handle responsibilities?(Required)

6. Have you ever continued drinking even after it led to problems in your relationships or health?(Required)

7. Do you often feel guilty, anxious, or ashamed after drinking?(Required)

8. Has your tolerance for alcohol increased over time (i.e., needing more alcohol to feel the same effect)?(Required)

9. Have you experienced physical symptoms when you haven’t been able to drink, such as shaking, sweating, or nausea?(Required)

10. How does alcohol affect your mood or behavior?(Required)

11. Do you find yourself prioritizing alcohol over other important aspects of your life (e.g., family, work, hobbies)?(Required)

13. Do you drink to cope with stress, sadness, or other negative emotions?(Required)

14. Has your alcohol consumption ever caused issues with your physical health, such as liver problems or memory issues?(Required)

15. When you think about your future, do you worry about how alcohol might impact your life?(Required)

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Resources

our blog

Unlocking insights in this blog.

Signs Someone Needs Structured Outpatient Care

How to Choose a Rehab in California

Levels of Addiction Treatment Explained

What Is Sober Living & Who Is It For?

Why San Juan Capistrano Is Ideal for Addiction Recovery

Serving Orange County Communities

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Next Steps: Install the Survey Add-On

Resources

our blog

Unlocking insights in this blog.

Signs Someone Needs Structured Outpatient Care

How to Choose a Rehab in California

Levels of Addiction Treatment Explained

What Is Sober Living & Who Is It For?

Why San Juan Capistrano Is Ideal for Addiction Recovery

Serving Orange County Communities

Insurance Verification

Do I Have an Addiction to Alcohol?

Next Steps: Install the Survey Add-On