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.


    Who is calling me?

    Do you ever feel that you need to drink first thing in the mornings?

    YesNo

    Do you sweat or shake if you don’t drink every day?

    YesNo

    Do you crave alcohol or find your concentration is affected by thoughts of drinking?

    YesNo

    Do you use alcohol to escape from your problems or to manage feelings of stress, anxiety, low mood or sleeplessness?

    YesNo

    Do you use alcohol to overcome shyness or to make you feel more confident?

    YesNo

    Can you take alcohol out of your life if you want to?

    YesNo

    Have you ever had a blackout, loss of memory or seizure as a result of your alcohol drinking?

    YesNo

    Have you ever lost a job or faced disciplinary action because of your drinking or drinking behaviours?

    YesNo

    Has alcohol use affected your general health and well-being?

    YesNo

    Do you ever become verbally or physically aggressive when you are under the influence of alcohol?

    YesNo

    Have you ever been arrested or faced charges for any criminal actions when you have been under the influence of alcohol?

    YesNo

    Have you ever sought treatment, help or support for alcohol abuse?

    YesNo