FREE Alcohol Test!

Welcome to your FREE Alcohol Test

Kindly complete the questionnaire of 16 questions so that we can evaluate your condition according to the options you select.

Name
Email
Country/ State

Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).

Do you feel like you should cut down or stop drinking?
Do you feel like you are a normal drinker? ("normal" -Drink as much or less than most other people)
Have you awakened the morning after some drinking the night before and found that you could not remember a part of the evening?
Does any near relative or close friend ever worry or complain about your drinking?
Can you stop drinking without difficulty after one or two drinks?
Do you ever feel guilty about your drinking?
Have your even gotten into psychical fights when drinking?
Has drinking ever created problems between you and your near relative or a close friend?
Has any family member or close friend gone to anyone for help about your drinking?
Do you drink before noon fairly often?
Have you even been told you have liver trouble such as cirrhosis?
After heavy drinking have you ever had delirium tremens (D.T's), severe shaking, visual or auditory (hearing) hallucinations?
Have you ever gone to anyone for help about your drinking?
Have you ever been hospitalized because of drinking?
Have you ever been arrested more than once for driving under the influence of alcohol?