Quiz

1. Do you lose time from work due to drinking?
    Yes  No
2. Is drinking making your home life unhappy?
   Yes  No
3. Do you drink because you are shy with other people?
    Yes  No
4. Is drinking affecting your reputation?
    Yes  No
5. Have you ever felt remorse after drinking?
    Yes  No
6. Have you ever got into financial difficulties as a result of drinking?
    Yes  No
7. Do you turn to lower companions and an inferior environment when drinking?
    Yes  No
8. Does drink make you careless of your family welfare?
    Yes  No
9. Has your ambition decreased since drinking?
    Yes  No
10. Do you crave for a drink at a definite time daily?
     Yes  No
11. Do you want a drink the next morning?
     Yes  No
12. Does drinking cause you to have difficulty in sleeping?
     Yes  No
13. Has your efficiency decreased since drinking?
     Yes  No
14. Is drinking jeopardising your job or business?
     Yes  No
15. Do you drink to escape from worries or trouble?
    YesNo
16. Do you drink alone?
     Yes  No
17. Have you ever had a complete loss of memory as a result of drinking?
     Yes  No
18. Has a physician ever treated you for drinking?
     Yes  No
19. Do you drink to build up your self-confidence?
     Yes  No
20. Have you ever been in a hospital or institution on account of drinking?
     Yes  No