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Outpatient Treatment
for Drug and Alcohol Abuse

2760 Middle Country Road
Lake Grove, N.Y. 11755

Tel: 631.467.3182 | Fax: 631.467.3178

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Self Assessment
(not to be taken as a professional assessment)

1. Have other people talked to you about your alcohol or drug use?
Y N
2. Have you experienced legal, work, family, or relationship problems because of your use?
Y N
3. Have you quit using for a month or a week to prove you coud and then started again?
Y N
4. Does it seem that you need more or use more now than you used to?
Y N
5. Have you ever experienced a loss of memory while using?
6. Do you spend a lot of time thinking about using drugs or alcohol during the day?
7. Have you tried to stop using but couldn't?
8. Have you lied to others about your drinking or drug use?
9. Have you started to withdraw from others to protect your use?
10. Do you use drugs or alcohol to cope?

If you answered yes to any or all of these questions, you may be addicted to drugs or alcohol. A professional assessment is strongly advised.

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"Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all."

Dale Cargnegie
American Author

 


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