How Are Alcohol and Drugs Affecting Your Life?

Do you use alcohol or other drugs to build self-confidence?

yes no

Do you ever drink or get high immediately after you have a problem at home or at school?

yes no

Have you ever missed school due to alcohol or other drugs?

yes no

Does it bother you if someone says that you use too much alcohol or other drugs?

yes no

Have you started hanging out with a heavy drinking or drug using crowd?

yes no

Are alcohol or other drugs affecting your reputation?

yes no

Do you feel guilty or bummed out after using alcohol or other drugs?

yes no

Do you feel more at ease on a date when drinking or using other drugs?

yes no

Have you gotten into trouble at home for using alcohol or other drugs?

yes no

Do you borrow money or "do without" other things to buy alcohol and other drugs?

yes no

Do you feel a sense of power when you use alcohol or other drugs?

yes no

Have you lost friends since you started using alcohol or other drugs?

yes no

Do your friends use less alcohol or other drugs than you do?

yes no

Do you drink or use other drugs until your supply is all gone?

yes no

Do you ever wake up and wonder what happened the night before?

yes no

Have you ever been busted or hospitalized due to alcohol or use of illicit drugs?

yes no

Do you "turn off" any studies or lectures about alcohol or illicit drug use?

yes no

Do you think you have a problem with alcohol or other drugs?

yes no

Has there ever been someone in your family with a drinking or other drug problem?

yes no

Could you have a problem with alcohol or other drugs?

yes no