Do I Need Help?

AM I AN ALCOHOLIC OR DRUG ADDICT?

Answering the following questions will give you some idea of whether or not alcohol or drugs is becoming a problem in your life. Try to be as honest with yourself as you can.

The *CAGE Questionnaire

1. Have you ever felt you should Cut down on your drinking or drug use?

_____ No ____ Yes

2. Have people Annoyed you by criticizing your drinking or drug use?

_____ No ____ Yes

3. Have you ever felt bad or Guilty about your drinking or drug use

_____ No ____ Yes

4. Have you ever had a drink or taken a drug first thing in the morning to steady your nerves of get rid of a hangover (i.e. Eye-opener)?

_____ No ____ Yes

---

A positive response to 2 or more of the 4 questions is considered a positive test and indicates that further assessment is warranted.

*Adapted from: Cherpitel CJ. Brief screening instruments for alcoholism. Alcohol Res World.
1997; 21:348-351.

Download this test (requires Adobe Acrobat Reader)

128 N. 6th Street, # D
Windsor, CO. 80550

970.495.4684