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Auto Diagnostic technology for Alcohol Addiction


This is a test to calculate the severity of the problem of addiction
alcohol under any circumstances is a replacement for the assessment
professional, it is a tool for self-diagnosis is
why not evaluated with final score, but the idea is that
each question is made an analysis and becomes aware of the
situation.
Top
form


1. How often have you thought that you have a problem with alcohol?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very often
5 = Every time I have never
2. How often tap the morning?
1 =
Rarely 2 = Occasionally 3 = Frequently


4 = Very Often 5 = Always
never
3. How often your family members have complained about the way you
take?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very Often 5 = Always
I take
never do
4. How often do you take to relax or relieve anxiety?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very Often 5 = Always

never
5. How often do you feel you take more than what you had planned?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very Often 5 = Always

never
6. How often do you waste important opportunities professional
social or family to be taking?
1
= Rarely 2 = Occasionally 3 = Frequently

4 = Very Often 5 = Always

never happened to me
7. How often did your relationships have affected the way you
take?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very Often 5 = Always

never
8. How often after being on you feel guilty or remorseful
of what you've done?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very Often 5 = Always

never
9. How often do you feel you are spending too much money on your habit
take?
1 = Rarely 2 = Occasionally


3 = Frequently 4 = Very Often 5 = Always

never
10. How often has been accused, arrested or driven by any
situation or accident involving your habit of drinking?
1 = Once

2 = Twice 3 = three times
4 = Four times
5 = More than four times
never
11. How often have you promised yourself or others that you're leaving
taking only to discover you can not keep?
1 = Rarely 2 = Occasionally

3
= Frequently 4 = Very Often 5 = Always

never
12. How often have you been treated medically for reasons that are
linked to your way of taking (ulcer, gastritis, intoxication, etc.)?
1 =
Rarely 2 = Occasionally 3 = Frequently

followed 4 =
5 = Every time I take
never happened to me
13. How often is your productivity affected because they are taking?
1 = Rarely I have problems in my work to be taking
2 = Occasionally I have problems in my work to be taking
3 = Often I have trouble at my job to be taking
4 = Very often I have problems in my work to be taking
5 = always I take my job I have trouble
never affected my work
14. How often when you forget to take some of what you've done?
1 =
Rarely 2 = Occasionally 3 = Frequently

4 = Very Often 5 = Always
I take
never happened to me
15. How often have you sought help to solve this problem?
1 = Once before

2 = Twice 3 = three times
4 = Four times
5 = More than four times
never
Final
form

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