Drinking (a test for women only) | South Coast Medical Center

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Behavioral Health Questionnaire

Women: Do you have a drinking problem? Ask yourself the following questions and answer them as honestly as you can to determine whether you may need help.

	Do you try to get someone to buy liquor for you because you are ashamed to buy it yourself?
	Do you buy liquor at different places so no one will know how much you purchase?
	Do you hide the empties and dispose of them secretly?
	Do you plan in advance to �reward� yourself with a little drinking bout after you�ve worked very hard in the house?
	Are you often permissive with your children because you feel guilty about the way you behaved when you were drinking?
	Do you have �blackout� periods about which you remember nothing?
	Do you ever phone the hostess of a party the next day and ask if you hurt anyone�s feelings or made a fool of yourself?
	Do you find cigarette holes in your clothes or the furniture and can�t remember when it happened?
	Do you take an extra drink or two before leaving for a party when you know liquor will be served there?
	Do you often wonder if anyone knows how much you drink?
	Do you feel wittier or more charming when you are drinking?
	Do you feel panicky when faced with non-drinking days, such as a visit to out-of-town relatives?
	Do you invent social occasions for drinking, such as inviting friends for lunch, cocktails or dinner?
	When others are present, do you avoid reading articles or seeing movies or TV shows about women alcoholics, but read and watch them when no one is around?
	Do you ever carry liquor in your purse?
	Do you become defensive when someone mentions your drinking?
	Do you become irritated when unexpected guests reduce your liquor supply?
	Do you drink under pressure or after an argument?
	Do you try to cover up when you can�t remember promises and feel ashamed when you misplace or lose things?
	Do you drive even though you�ve been drinking but feel certain you are in complete control of yourself?