Do you feel you are a normal drinker? (“normal” - drink as much or less than most other people)

Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening?

Have you ever gotten into trouble at work because of drinking?

Have you ever lost a job because of drinking?

Have you ever neglected your obligations, family or your work for 2 or more days in a row because you were drinking?

Can you stop drinking without difficulty after 1 or 2 drinks?

Have you ever gone to anyone for help about your drinking?

Have you ever gone to any doctor, social worker, clergyman, or mental health clinic for help with any emotional problem in which drinking was part of the problem?

Have you ever attended a meeting of Alcoholics Anonymous (AA)?

Does any relative or close friend ever worry or complain about your drinking?

Do you ever feel guilty about your drinking?

Have you ever gotten into physical fights while drinking?

Has drinking ever created problems between you and a near relative or close friend?

Has any family member or close friend gone to anyone for help about your drinking?

Have you ever lost friends because of your drinking?

Have you ever been hospitalized because of drinking?

Have you ever been told you have liver trouble such as cirrhosis?

Have you been arrested more than once for driving under the influence of alcohol?

Have you ever been arrested, even for a few hours, because of other behavior while drinking?

Do you drink before noon fairly often?

After heavy drinking, have you ever had delirium tremens (D.T.’s), severe shaking, or visual/auditory (hearing) hallucinations?

Has your drinking ever resulted in you being hospitalized in a psychiatric ward?

How often do you have a drink containing alcohol?

How many drinks containing alcohol do you have on a typical day when you are drinking?

How often do you have 6 or more drinks on one occasion?

After a night of drinking, how often do you not remember a part of the evening?

How often during the last year have you failed to do what was normally expected of you because of drinking?

How often in the last year have you found you were not able to stop drinking alcohol?

How often do you feel guilty about drinking?

Has a doctor or health worker been concerned about your drinking or suggested you cut down?

Have you or someone else been injured as a result of drinking?

How often do you drink before noon?