Prescription Drug Addiction Quiz - Valiant Living Detox and Assessment

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Prescription Drug Addiction Quiz

Prescription drug addiction is a serious medical condition that often goes underdiagnosed. To help individuals detect if they are at risk of developing an addiction to prescription drugs, a quiz can be taken.

Fill Out Information Below

Alcoholism Quiz

Fill out the quiz below to get an assessment if you or someone you care about is suffering

Name

Email

Phone

When you are feeling sad, do you have a few drinks to ease the pain?

Yes

No

None

Do you notice that you can handle a lot more alcohol now than you could when you first started?

Yes

No

None

Have you had blackouts after drinking?

Yes

No

None

Is drinking a big highlight of your day?

Yes

No

None

Do you plan your social life according to the events that will include alcohol?

Yes

No

None

Let's say that you drank a lot at a party last night. You didn't pass out or black out. The next day your friends tell you that you said certain things you don't recall saying at all. Does this happen to you?

Yes

No

None

Do your family members and/or friends tell you that you drink too much?

Yes

No

None

Have you lost friendships because of your drinking?

Yes

No

None

Do you ever have an alcoholic drink in the morning?

Yes

No

None

Have you ever had a DUI or DWI?

Yes

No

None

Do you have other family members that drink large amounts of alcohol or always include drinking alcohol in their daytime activities?

Yes

No

None

Do you ever feel guilty about drinking?

Yes

No

None

Are there days where you stay drunk for more than 24 hours?

Yes

No

None

When you try to drink less, do you find that you get to the point where you feel so bad - but a drink pulls you out of it?

Yes

No

None

Do you have any of these: fatigue, worsening memory, wake up with abdominal discomfort, episodes where your body shakes, or nausea?

Yes

No

None

Do you feel socially inept whenever there's no alcohol at a party?

Yes

No

None

Is it rare for you to eat three meals in a day?

Yes

No

None

Do you try to keep your drinking a secret from your family or coworkers?

Yes

No

None

Have you had arguments with family and friends about your drinking habits?

Yes

No

None

Are you afraid to go without alcohol during the day?

Yes

No

None

Have you had any blackouts recently?

Yes

No

None

Do you ever get withdrawal headaches, feel depressed, or feel suicidal on days when you don't drink?

Yes

No

None

Do you rearrange your budget to ensure that alcohol is always in the house and may even replace some foods?

Yes

No

None

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