Alcohol & Drug Use Screening

Please answer the questions below honestly. When finished, scroll down to find out how to score your answers.		Yes	No
1.	In the last three months, have you felt you should cut down or stop drinking or using drugs?
2.	In the last three months, has anyone annoyed you or gotten on your nerves by telling you to cut down or stop drinking or using drugs?
3.	In the last three months, have you felt guilty or bad about how much you drink or use drugs?
4.	In the last three months, have you been waking up wanting to have an alcoholic drink or use drugs?
Scoring: Count the number of checkmarks you have the in "Yes" column. Each "Yes" answer earns one point. One point indicates a possible problem. Two points or more indicate a probable problem. Contact MAPPS for more information on Addiction Treatment services and a confidential screening.

Screening Tests >> Adult ADD Test | Anxiety Disorders | Alcohol Use | Alcohol & Drug Use | Mood Disorders

Patient Resources >> Patient Forms | Addiction Forms | Billing Policies | Helpful Links Your Rights & Privacy >> Client Rights | Disclosures

The information found on this website is deemed reliable, but is not guaranteed by Midwest Addictions Psychiatric Psychological Services, LLC.

Website Design & Development by DesignFactore.com