No| Do you feel you are a normal drinker? ('normal' - drink as much or less than most other people)? | | |
| Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening? | | |
| Does any near relative or close friend ever worry or complain about your drinking? | | |
| Can you stop drinking without difficulty after one or two drinks? | | |
| Do you ever feel guilty about your drinking? | | |
| Have you ever attended a meeting of Alcoholics Anonymous (AA)? | | |
| Have you ever gotten into physical fights when drinking? | | |
| Has drinking ever created problems between you and a near relative or close friend? | | |
| Has any family member or close friend gone to anyone for help about your drinking? | | |
| Have you ever lost friends because of your drinking? | | |
| Have you ever gotten into trouble at work because of drinking? | | |
| Have you ever lost a job because of drinking? | | |
| Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking? | | |
| Do you drink before noon fairly often? | | |
| Have you ever been told you have liver trouble such as cirrhosis? | | |
| After heavy drinking have you ever had delirium tremens (D.T.'s), severe shaking, visual or auditory (hearing) hallucinations? | | |
| Have you ever gone to anyone for help about your drinking? | | |
| Have you ever been hospitalized because of drinking? | | |
| Has your drinking ever resulted in your being hospitalized in a psychiatric ward? | | |
| Have you ever gone to any doctor, social worker, clergyman or mental health clinic for help with any emotional problem in which drinking was part of the problem? | | |
| Have you been arrested more than once for driving under the influence of alcohol? | | |
| Have you ever been arrested, even for a few hours, because of other behavior while drinking? | | |
