Do you feel you are a normal drinker? yes no

Does your spouse (or do your parents) worry or complain about your drinking? yes no

Do you ever feel bad about your drinking? yes no

Do friends or relatives think you are a normal drinker? yes no

Are you always able to stop drinking when you want to? yes no

Have you ever attended a meeting of Alcoholics Anonymous? yes no

Has drinking ever created problems between you and your spouse or significant other? yes no

Have you ever gotten into trouble at work because of drinking? yes no

Have you ever neglected your obligations, your family or your work for two or more days in a row because you were drinking? yes no

Have you ever gone to anyone for help about your drinking? yes no

Have you ever been in the hospital because of drinking? yes no

Have you ever been arrested -- even for a few hours -- because of drinking?
yes no

Have you ever been arrested for drunk driving or driving after drinking?
yes no