1. Do you lose time from work due to drinking? Yes No

2. Is drinking making your home life unhappy? Yes No

3. Do you drink because you are shy with other people? Yes No

4. Is drinking affecting your reputation? Yes No 5. Have you ever felt remorse after drinking? Yes No

6. Have you gotten into financial difficulties as a result of drinking? Yes No

7. Do you turn to lower companions and an inferior environment when drinking? Yes No

8. Does your drinking make you careless of your family's welfare? Yes No

9. Has your ambition decreased since drinking? Yes No

10. Do you crave a drink at a definite time daily? Yes No

11. Do you want a drink the next morning? Yes No

12. Does drinking cause you to have difficulty in sleeping? Yes No

13. Has your efficiency decreased since drinking? Yes No

14. Is drinking jeopardizing your job or business? Yes No

15. Do you drink to escape from worries or troulble? Yes No

16. Do you drink alone? Yes No

17. Have you ever had a complete loss of memory as a result of drinking? Yes No

18. Has your physician ever treated you for drinking? Yes No

19. Do you drink to build up your self-confidence? Yes No

20. Have you ever been to a hospital or institution on account of drinking? Yes No

If you have answered YES to any one of the questions,

there is a definite warning that you may be alcoholic.

If you have answered YES to any two, the chances are that you are an alcoholic.