This
self test should not be taken as a diagnosis or treatment of any
medical or emotional condition. We advise you to consult your doctor
or a qualified counselor about any concerns you may have regarding
this test.
The purpose of this survey is to help you decide whether or not you
may have a problem with Alcohol and/or Drugs.
Answer each question by clicking on the white dot next to "yes" or
"no". Then at the end of the form supply your name and contact
information (optional), and submit the form. You will receive a
confirmation message from us shortly .
Do you
lose time from work due to your drinking or drugging?
YES
NO
Is your
drinking/drugging making your home life unhappy?
YES
NO
Do you
drink or drug because you are shy with other people?
YES
NO
Is
drinking or drugging affecting your reputation?
YES
NO
Have you
ever felt remorse after drinking or drugging?
YES
NO
Have you
gotten into financial difficulties because of your drinking or
drugging?
YES
NO
Do you
turn to lower companions and inferior environment when
drinking or drugging?
YES
NO
Does
your drinking or drugging make you careless of your family's
welfare?
YES
NO
Has your
ambition decreased since drinking or drugging?
YES
NO
Do you
crave a drink or a drug at a definite time daily?
YES
NO
Do you
want a drink or drug the next morning?
YES
NO
Does
drinking or drugging cause you difficulty in sleeping?
YES
NO
Has your
efficiency decreased since drinking or drugging?
YES
NO
Is
drinking or drugging jeopardizing your job or business?
YES
NO
Do you
drink or drug to escape from worries or troubles?
YES
NO
Do you
drink or drug alone?
YES
NO
Have you
ever had a complete loss of memory as a result of your
drinking or drugging?
YES
NO
Has your
physician ever treated you for drinking or drugging?
YES
NO
Do you
drink or drug to build up your self confidence?
YES
NO
Have you
ever been in a hospital or institution on account of drinking
or drugging?
YES
NO
If you have
answered YES to any one of the questions, this should be taken as a
definite warning sign.
If you answered YES to any two, the chances are that you have an
addiction.
If you answered YES to three or more, you definitely have an
addiction.
(The above questions are used by Johns Hopkins University Hospital,
Baltimore MD., In deciding whether or not a patient has a addiction
to drugs or alcohol.)
If you
would like literature about one of our programs sent to you, or
someone from SODAT to contact you... Please click on the button
below.
Thank you for
taking the SODAT Addiction Self Test, if you have questions or
concerns please contact us. All information received by SODAT is
held in the strictest confidence.
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2003
All
information contained within this web site is the property of SODAT
of New Jersey, Inc. unless otherwise noted. Information which is
property of SODAT of New Jersey, Inc. may be copied and used
provided a link back to http://www.sodat.org/ is
placed on the site where the information is used. Questions or
comments can be directed to info@sodat.org