Free Assessment Free Self Assessment Questionnaire Are you worried you're addicted to alcohol? Complete our self-assessment form and click on submit. We'll tell you if you're likely to have a dependancy and how to get you the help you need. Do you ever feel that you need to drink first thing in the mornings?* Yes No Do you sweat or shake if you don’t drink every day?* Yes No Do you crave alcohol or find your concentration is affected by thoughts of drinking?* Yes No Do you use alcohol to escape from your problems or to manage feelings of stress, anxiety, low mood or sleeplessness?* Yes No Do you use alcohol to overcome shyness or to make you feel more confident?* Yes No Can you take alcohol out of your life if you want to?* Yes No Have you ever had a blackout, loss of memory or seizure as a result of your alcohol drinking?* Yes No Have you ever lost a job or faced disciplinary action because of your drinking or drinking behaviours?* Yes No Has alcohol use affected your general health and well-being?* Yes No Do you ever become verbally or physically aggressive when you are under the influence of alcohol?* Yes No Have you ever been arrested or faced charges for any criminal actions when you have been under the influence of alcohol?* Yes No Have you ever sought treatment, help or support for alcohol abuse?* Yes No PhoneThis field is for validation purposes and should be left unchanged.