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Confidential Addiction Assessment

 Addiction Questionnaire

A Drug & Alcohol Addiction Assessment is best done by a trained addiction professional.  However many family addiction assessment tools for determining a problem are identifiable by the drug addict lying blaming and denying that there is a problem. 

Alcoholic excuses
are normal and to be expected as a sign of addiction….a symptom of a deadly disease.  No matter if they have Pill problems, Alcoholism or are using Heroin, the person suffering will use an arsenal of weapons and behaviors to defend their addiction.
 

       
         
CONTACT US

              or call us at:
     
       1-888-405-3121


Family Intervention Needs Assessment

                    Check all below that apply to your situation:

 

1. Is the person drinking or using any other drug more now than in the past?
2. Are you afraid to be around the person when they are drinking or using drugs-because of the possibility of verbal or physical abuse?
3. Has the person ever forgotten or denied things that happened during a drinking or using episode?
4. Do you worry about the person’s drinking or drug use?
5. Does the person refuse to discuss her drinking or drug use?
6. Do you feel that your life has been negatively impacted by someone else's substance abuse?
7. Do they become defensive when you try to talk to them about their substance abuse?
8. Have you ever been embarrassed by the other persons drinking or drug use?
9. Have you ever lied to anyone else about the persons drinking or other drug use?
10. Have you ever made excuses for the way the person behaved while drinking or using?
11. Are many of the person’s friends heavy drinkers, or do they use other drugs?
12. Does the person make excuses for, or try to justify his drinking or using?
13. Do you feel guilty about the other person drinking or drug use?
14. Are holidays and social functions unpleasant for you because of the persons drinking or drug use?
15. Do you feel anxious or tense around the person because of their drinking or using?
16. Have you ever helped the person “cover up” for a drinking or using episode?
17. Does the person deny the there is a problem because they drink only beer or wine? Or justify their using with hollow excuses that lead toward minimization?
18. Does the person’s behavior change noticeably when drinking or using?
19. Does the person insist that they need a substance to relax, or have fun?
20. To your knowledge has the person ever driven while drunk or under the influence of other drugs?
21. Are you afraid to ride with a person after they have been drinking or using?
22. Has anyone else talked to you about the persons drinking or using behavior?
23. Has the person ever expressed remorse for their behavior after a drinking or using episode?
24. Does the person seem to have low self-image?
25. Have you ever found alcohol or drugs the person has hidden?
26. If children are involved, are they afraid of the person using?

27. Are there financial difficulties in addition to the chemical problem?
28. Does the person look forward to the times when they can drink or drug?

Did you answer yes to 1- 3 questions?  There is a chance that substance abuse is disrupting your life. 

 

  Did you answer yes to 3-5 questions?  Professional Substance abuse assessment is recommended.

 

  Did you answer yes to 6 or more times? Your family is probably severely affected by someone’s substance abuse and you are encouraged to get professional help as soon as possible. 


We can be reached at:  1-888-405-3121
  

 (Please fill out the optional contact information below if you would like to talk with us) 

 

 

 

 

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