Self Test - Crossroads Treatment Center

Self Test for Alcoholism and Drug Addiction

These questions can help you determine whether you may have a problem with alcohol or other drugs or the potential for addiction. There are no incorrect answers, only honest answers. For a more comprehensive assessment, please call us at 1-866-473-7575.

Please answer yes or no to the following questions:

Do you lose time from work due to your drinking or drug use?

Yes No

Is drinking or drug use making your home life unhappy?

Yes No

Do you drink or use drugs because you are shy with other people?

Yes No

Is drinking or using drugs affecting your reputation?

Yes No

Have you ever felt remorse after drinking or drug use?

Yes No

Have you gotten into financial difficulties as a result of your drinking or drug use?

Yes No

Do you turn to lower companions and an inferior environment when drinking or using drugs?

Yes No

Does your drinking or using drugs make you careless of your family's welfare?

Yes No

Has your ambition decreased since drinking or using drugs?

Yes No

10.

Do you crave a drink or drugs at a definite time daily?

Yes No

11.

Do you want a drink or drugs the next morning?

Yes No

12.

Does drinking or drug use cause you to have difficulty in sleeping?

Yes No

13.

Has your efficiency decreased since drinking or using drugs?

Yes No

14.

Is drinking or using drugs jeopardizing your job or business?

Yes No

15.

Do you drink or use drugs to escape from worries or troubles?

Yes No

16.

Do you drink or use drugs alone?

Yes No

17.

Have you ever had a complete loss of memory as a result of your drinking or drug use?

Yes No

18.

Has your physician ever treated you for drinking or drug use?

Yes No

19.

Do you drink or use drugs to build up your self-confidence?

Yes No

20.

Have you ever been in a hospital or institution on account of drinking or drug use?

Yes No

This test was written at Johns Hopkins University to assess for alcoholism and drug addiction.