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Self Assessment on Alcoholism / Alcohol Addiction

Self Assessment on Alcoholism / Alcohol AddictionDeutschsprachige Version:

Do you show related symptoms?

This self test combines two of the most established tests on alcoholism and is thus quite reliable, even when done over the Internet. One of the tests was developed by the World Health Organization (WHO) to screen for harmful or hazardous drinking patterns, the other one is based on the diagnosis criteria for Alcoholism as defined by W.Feuerlein.
Depending on whether just one or both test results indicate alcohol abuse/addiction, the test result will be accordingly distinct.

Please note: because of the conditions of a test like this and with the following list of questions, this test shouldn't be mistaken a diagnostic test - it can not replace a medical, psychological or therapeutic diagnosis or medical checkups. In suspicious cases it is thereby strongly suggested to consult a doctor or therapist to avoid any risks to your health.

The test involves 32 questions and will take about 10 minutes to complete.
After submitting your answers, your results will be displayed (at no cost at all).

Privacy is considered as important by me as a psychotherapist: your answers will be saved for statistical purposes, but without any personal reference which would allow a conclusion about your identity. To avoid abuse of this questionnaire, your IP address will be recorded.

Instructions and complementary notes

The results will be more accurate if you answer honestly.

  • One 'drink' is defined as 12 ounces (0.33l.) of beer, 5 ounces (1/6l.) of wine, or one standard cocktail (1.5 ounces of 80-proof liquor).
  • please answer all questions and don't leave any of them unanswered -
    a result will only be displayed if you answered the complete questionnaire.
  • there are no 'right' or 'wrong' answers - just try to answer each of them as honestly as possible.
  • please pay attention on the wording of the questions. Once you understood the questions however, try to answer spontaneously and avoid minute-long pondering over the 'correct' response.
1. How often do you have a drink containing alcohol?
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
3. How often do you have six or more drinks on one occasion?
4. How often did you think on alcohol during the last year?
5. How often during the last year have you found that you were not able to stop drinking once you had started?
6. How often during the last year have you been unable to remember what happened the night before because you had been drinking (black-out, mind-lapse)?
7. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
8. How often during the last year have you had a feeling of guilt or remorse after drinking?
9. Have you or someone else been injured as a result of your drinking?
10. Has a relative, a friend, a co-worker, a doctor or other health worker been concerned about your drinking or suggested you cut down?
11. Did you recently notice a tremor in your hands or fingers?
yes   no

12. Did you recently suffer from feeling of choking or sickness, especially at mornings?
yes   no

13. Does the tremor and/or feeling of sickness improve if you drink alcohol?
(answer "no" if you answered the previous question with "no" as well)
yes   no

14. Did you recently experience noticeable jumpiness or nervousness?
yes   no

15. Did you eat less when you were drinking more than usual?
yes   no

16. Did you recently suffer from sleeping disorders or nightmares?
yes   no

17. Do you feel under tension, agitated or anxious when not drinking for a while?
yes   no

18. If you drink alcohol, do you experience an irresistible craving for more after having had a few glasses?
yes   no

19. After having drunk a lot, do you experience memory gaps?
yes   no

20. Do you currently experience your tolerance for alcohol to be lower than it was?
yes   no

21. Did you already experience feelings of remorse of guilt about your drinking?
yes   no

22. Did you already try to apply a system to your drinking behavior (like to avoid drinking before a certain time of the day)?
yes   no

23. Does your job involve drinking alcoholic drinks?
yes   no

24. At your workplace (or if you are retired, by friends or family members) did someone lecture you about your drinking?
yes   no

25. Are you less dedicated or initiative since you are drinking?
yes   no

26. Are you habitually enjoying a glass of an alcoholic drink when you are alone?
yes   no

27. Do you have a circle of friends or acquaintances who enjoy drinking lots of alcohol?
yes   no

28. Do you feel better and more self-confident after drinking alcohol?
yes   no

29. Do you store a hidden reserve of alcoholic drinks at home or at your workplace?
yes   no

30. Are you drinking alcohol to improve your dealing with stress or to forget about anger or problems?
yes   no

31. Have you or your family already been in financial trouble because of your drinking habits?
yes   no

32. Have there been incidences with the police because of driving under influence of alcohol?
yes   no

Sex:   male   female   other

Age:  

I live in:  

Relationship status:

Do you currently have personal problems bothering you?

If you answered YES to the previous question related to problems:
Do you think that your problems might be related to your use of alcohol:
...at work (0=no problems caused by alcohol use at work 3=serious problems caused by alcohol use at work):
...privately (relationship, friends) (0=no private issues caused by my consumption of alcohol 3=serious private problems caused by my consumption of alcohol):

Are you currently undergoing a psychotherapy, sex therapy or counseling?
yes   no

Which of the following categories describes your primary occoupation best?

My self-assessment on my type of alcohol consumption:


Click "Analyze!", after that the result will be displayed (if the questionnaire was completed).

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