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Self Assessment Form

Alcohol

Are you worried you're addicted to alcohol?
Complete our self-assessment form and click on submit. We'll tell you if you're likely to have a dependancy and how to get you the help you need.
Do you ever feel that you need to drink first thing in the mornings?
Do you sweat or shake if you don’t drink every day?
Do you crave alcohol or find your concentration is affected by thoughts of drinking?
Do you use alcohol to escape from your problems or to manage feelings of stress, anxiety, low mood or sleeplessness?
Do you use alcohol to overcome shyness or to make you feel more confident?
Can you take alcohol out of your life if you want to?
Have you ever had a blackout, loss of memory or seizure as a result of your alcohol drinking?
Have you ever lost a job or faced disciplinary action because of your drinking or drinking behaviours?
Have you ever lost friends or a relationship because of your drinking or drinking behaviours?
Has alcohol use affected your general health and well-being?
Do you ever become verbally or physically aggressive when you are under the influence of alcohol?
Have you ever been arrested or faced charges for any criminal actions when you have been under the influence of alcohol?
Have you ever sought treatment, help or support for alcohol abuse?


0800 123 0001