Select the statements that best reflect what you have been experiencing over the last few months.
Please be honest with your answers. This inventory is anonymous; no information about you will be collected.
1. I have tried to stop drinking or using drugs and failed.
2. I have missed days at work or school or my performance has suffered because of my drinking or drug use.
3. I have had a loss of memory or "blackout" after I've been drinking.
4. I have had legal difficulty because of my drinking or drug use.
5. My drinking or drug use causes problems in my personal relationships.
6. I wish people would stop bothering me about my drinking or drug use.
7. I sometimes need a drink in the morning to get started or to stop shaking.
8. I feel like my life would be better if I stopped drinking or using drugs.
9. I drink or use drugs because I have problems or need to relax.
10. I think about dying or killing myself.
Analyzing your answers
This tool was developed to help you become more familiar with what you or someone you care about may be experiencing. If it can help explain your feelings, share this inventory with someone who cares about you or with a behavioral health professional.
If you checked statement 10, seek help immediately, regardless of the other statements you checked. This involves taking any of these steps needed to assure your safety:
Seek out someone you trust and can help you be safe.
Call "911" or the nearest emergency medical service.
If you checked two or more of these statements, you should see your doctor or a behavioral health professional.
If you checked less than two statements but still feel your ability to function in life is impaired, you should see your doctor or a behavioral health professional.
It's important to note that only a health care professional can diagnose a behavioral health disorder. For help, contact the nearest Allina Mental Health location.