The alcohol assessment test will give you immediate feedback based on your answers to the following questionnaire.

Please answer the following questions pertaining to your use of alcohol:

1. Has a friend or family member complained about you drinking too much or too often? Never
   Once
   A few times
   Many Times
2. Have you ever created rules to try to control your drinking (e.g., only drink when out, only drink on weekends, only drink wine)? No
   Yes
3. Do you find you have difficulty stopping drinking once you have had one or two drinks? No
   Yes
4. Have you lost friends due to your drinking? No
   Yes
5. Have you ever been confronted at work due to your drinking? No
   Yes
6. Have you ever lost a job due to drinking? No
   Yes
7. Have you ever been arrested for driving under the influence or for other behaviors while intoxicated? No
   Yes
8. Have you ever sought medical treatment, been referred to an ER, or been hospitalized due to your drinking? No
   Yes
9. Have you ever awakened the morning after some drinking the night before and found that you could not remember part of the evening? No
   Once
   A few times
   Many Times
10. Have you ever had a drink to stop feeling "shaky" when hung over? No
    Yes
11. Have you ever been told you have liver problems or other health problems due to your alcohol intake? No
    Yes
12. Are you thinking about getting treatment for alcohol problems? No
    Yes, in the next few months
    Yes, in the next few weeks
    Yes, within 2-3 days