AA World Services Questionnaire and quotes from 'Alcoholics Anonymous' text. Could be applied to most any substance or activity - simply substitute words related to drinking with words pertinent to the substance or activity in question.

Excerpted from AA World Services Pamphlet - 'Is AA For You?'
Copyright © 1973, 1998 by A.A. World Services, Inc.  All Right Reserved.
Find it by clicking on the link below.
http://www.alcoholics-anonymous.org

1 - Have you ever decided to stop drinking for a week or so, but only lasted for a couple of days?

2 - Do you wish people would mind their own business about your drinking-- stop telling you what to do?

3 - Have you ever switched from one kind of drink to another in the hope that this would keep you from getting drunk?

4 - Have you had to have an eye-opener upon awakening during the past year?

5 - Do you envy people who can drink without getting into trouble?

6 - Have you had problems connected with drinking during the past year?

7 - Has your drinking caused trouble at home?

8 - Do you ever try to get "extra" drinks at a party because you do not get enough?

9 - Do you tell yourself you can stop drinking any time you want to, even though you keep getting drunk when you don't mean to?

10 - Have you missed days of work or school because of drinking?

11 - Do you have "blackouts"?

12 - Have you ever felt that your life would be better if you did not drink?

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* Most addiction experts agree that talk therapy and 12-Step programs are a necessary component of a successful recovery. But in and of themselves, such methods have not proven terribly effective. Between 70 and 85 percent of addicts completing such programs will relapse within 6 to 12 months. Some alternative clinics that incorporate both physiological and psychological approaches boast six-month sobriety rates as high as 85 percent.