How often did you have a drink containing alcohol in the past year?

How many drinks did you have on a typical day when you were drinking in the past year?

How often did you have 6 or more drinks on 1 occasion in the past year?

Question

Have you ever felt you should Cut down on your drinking?

Yes No

Have people Annoyed you by criticizing your drinking?

Yes No

Have you ever felt Guilty about your drinking?

Yes No

Have you ever had a drink first thing in the morning (Eye opener)?

Yes No

Name

Alcohol Dependence

We strive to make a positive impact in the lives of those who seek our help. We believe in treating each client with kindness, respect, and empathy, creating an environment of trust and hope.