Williamsville Wellness / Psychological Test For Alcohol Abuse

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Over the last 2 weeks, how often have you been bothered by any of the following problems? Read each item carefully and circle your response.

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Psychological Test
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Tolerance: drank more to achieve the desired effect, or experienced less effect when drinking the same amount?	Not at all Several days More than half the days Nearly everyday
Little interest or pleasure in doing things?	Not at all Several days More than half the days Nearly everyday
Withdrawal: developed physical, mental, emotional distress, even life-threatening symptoms when drinking stopped; took a substance to relieve or avoid these symptoms?	Not at all Several days More than half the days Nearly everyday
Feeling down, depressed, or hopeless?	Not at all Several days More than half the days Nearly everyday
Attempted to cut down or control drinking but unsuccessful?	Not at all Several days More than half the days Nearly everyday
Trouble falling asleep, staying asleep, or sleeping too much?	Not at all Several days More than half the days Nearly everyday
Consumed more alcohol over a longer period than intended?	Not at all Several days More than half the days Nearly everyday
Feeling tired or having little energy?	Not at all Several days More than half the days Nearly everyday
Spent a great deal of time getting alcohol and drinking?	Not at all Several days More than half the days Nearly everyday
Poor appetite or overeating?	Not at all Several days More than half the days Nearly everyday
Gave up or reduced important social, occupation, or recreational activities because of drinking?	Not at all Several days More than half the days Nearly everyday
Feeling bad about myself, feeling that I am a failure, or feeling that I have let myself or my family down?	Not at all Several days More than half the days Nearly everyday
Trouble concentrating on things such as reading the newspaper or watching television?	Not at all Several days More than half the days Nearly everyday
Continued drinking despite knowledge of persistent or recurrent physical or psychological problems caused or exacerbated by drinking?	Not at all Several days More than half the days Nearly everyday
Moving or speaking so slowly that other people could have noticed. Or being so fidgety or restless that I have been moving around a lot more than usual.	Not at all Several days More than half the days Nearly everyday
Thinking that I would be better off dead or that I want to hurt myself in some way?	Not at all Several days More than half the days Nearly everyday
2. If you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?	Not Difficult at All Somewhat Difficult Very Difficult Extremely Difficult

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