How To Tell If Your Loved One Has An Addiction

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1. Is your loved one drinking (or using any other drug) more now than they did in the past?

YESNO

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2. Are you afraid to be around your loved one when they are drinking or using drugs- because of the possibility of verbal or physical abuse?

YESNO

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3. Has your loved one ever forgotten or denied things that happened during a drinking or using episode?

YESNO

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4. Do you worry about your loved one's drinking or drug use?

YESNO

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5. Does your loved one refuse to talk about their drinking or drug use- or even to the discuss the possibility that they might have a problem with it?

YESNO

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6. Has your loved one broken promises to control or stop their drinking or drug use?

YESNO

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7. Has your loved one ever lied about their drinking or drug use, or tried to hide it from you?

YESNO

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8. Have you ever been embarrassed by your loved one's drinking or drug use?

YESNO

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9. Have you ever lied to anyone else about your loved one's drinking or drug use?

YESNO

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10. Have you ever made excuses for the way your loved one behaved while drinking or using drugs?

YESNO

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11. Are most of your loved one's friends heavy drinkers or drug users?

YESNO

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12. Does your loved one make excuses for, or try to justify their drinking or drug use?

YESNO

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13. Do you feel guilty about your loved one's drinking or drug use?

YESNO

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14. Are holidays and social functions unpleasant for you because of your loved one's drinking or drug use?

YESNO

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15. Do you feel anxious or tense around your loved one because of their drinking or drug use?

YESNO

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16. Have you ever helped your loved one "cover up" for a drinking or using episode- by calling their job or telling others they're feeling "sick?"

YESNO

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17. Does your loved one deny that they have a drinking problem because they only drink beer? Or deny a drug problem because use is limited to marijuana, or prescription pills or some other "harmless" substance or amount?

YESNO

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18. Does your loved one's behavior change noticeably when they are drinking or using drugs? (For example: a normally quiet person might become loud and talkative, or a normally mild mannered person might become quick to anger).

YESNO

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19. Does your loved one avoid social functions where alcohol will not be served, or drugs will not be available or permitted?

YESNO

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20. Does your loved one insist on going only to restaurants that serve alcohol?

YESNO

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21. To your knowledge, has your loved one ever driven a car while intoxicated or under the influence of drugs?

YESNO

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22. Has your loved one ever received a DWI or DUI?

YESNO

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23. Are you afraid to ride with your loved one after they've been drinking or using drugs?

YESNO

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24. Has anyone else talked to you about your loved one's drinking or using behavior?

YESNO

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25. Has the person ever expressed remorse for their behavior during a drinking or using episode?

YESNO

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26. If there are children around your loved one, are the children afraid of them while they are drinking or using?

YESNO

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27. Does your loved one seem to have a low self image?

YESNO

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28. Have you ever found alcohol or drugs that your loved one has hidden?

YESNO

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29. Is your loved one having financial difficulties that seem to be related to their drinking or drug use?

YESNO

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30. Does your loved one look forward to times when they can drink or use drugs?

YESNO

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First Name

Last Name

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