If you’re wondering whether your drinking habits might be problematic, this simple self-assessment can help you reflect on your alcohol use. Answer the following questions honestly to gain insight into your relationship with alcohol.
Alcohol Use Questionnaire
1. Frequency & Quantity
- How often do you consume alcohol?
- ☐ Never
- ☐ Once a month or less
- ☐ 2-4 times a month
- ☐ 2-3 times a week
- ☐ 4 or more times a week
- When you drink, how many standard drinks do you typically have?
- ☐ 1-2 drinks
- ☐ 3-4 drinks
- ☐ 5-6 drinks
- ☐ 7-9 drinks
- ☐ 10+ drinks
2. Control & Dependence
- Have you ever felt that you should cut down on your drinking?
- ☐ Yes
- ☐ No
- Have you tried to stop drinking but found it difficult?
- ☐ Yes
- ☐ No
- Do you experience cravings or a strong urge to drink?
- ☐ Yes
- ☐ No
3. Impact on Daily Life
- Has drinking ever interfered with your responsibilities at work, school, or home?
- ☐ Yes
- ☐ No
- Have you continued drinking even when it caused problems in your relationships?
- ☐ Yes
- ☐ No
- Have you engaged in risky behaviors (e.g., driving under the influence, unsafe sex, or physical altercations) due to drinking?
- ☐ Yes
- ☐ No
4. Physical & Emotional Effects
- Do you experience withdrawal symptoms (such as shaking, sweating, nausea, or anxiety) when not drinking?
- ☐ Yes
- ☐ No
- Have you had memory lapses or blackouts due to drinking?
- ☐ Yes
- ☐ No
- Do you ever drink to cope with stress, anxiety, or depression?
- ☐ Yes
- ☐ No
Your Results
If you answered “Yes” to multiple questions, it may be time to evaluate your drinking habits and consider seeking guidance. You’re not alone—help is available.
🔹 Take the Next Step
If you’re concerned about your drinking or its effects on your life, talking to a professional can help. Give us a call to find guidance and treatment options.