2. Alcohol has caused problems with:
a) Work.
b) Family.
c) Both.
d) Neither.

3. Have you ever been to treatment?
a) Yes.
b) No.
c) I dont want treament.
d) I never thought of treatment.

4. Have you ever been told you have a problem with drinking?
Yes
No
Have not noticed
I ingore it when I hear it.

5. Have you ever had a blackout?
Yes.
No.
I don't remember.
Never.

6. Do you want help?
Yes.
No.
Maybe in the future.
I am not a quitter!