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1. Do you occasionally drink heavily after a disappointment, a quarrel, or when the boss gives you a hard time?
2. When you have trouble or feel under pressure, do you always drink more heavily than usual?
3. Have you ever noticed that you are able to handle more liquor than you did when you were first drinking?
4. Did you ever wake up on the "morning after" and discover that you could not remember a part of the evening before, even though your friends tell you that you did not "pass out?"
5. When drinking with other people, do you try a few extra drinks when others will not know it?
6. Are there certain occasions when you feel uncomfortable if alcohol is not available?
7. Have you recently noticed that when you begin drinking you are in more of a hurry to get the first drink than you used to be?
8. Do you sometimes feel a little guilty about your drinking?
9. Are you secretly irritated when your family and friends discuss your drinking?
10. Have you recently noticed an increase in the frequency of your memory "blackouts?"
11. Do you often find that you wish to continue drinking after your friends say they have had enough?
12. Do you usually have a reason for the occasions when you drink heavily?
13. When you are sober, do you often regret things you have done or said while drinking?
14. Have you ever tried switching brands or following different plans for controlling your drinking?
15. Have you often failed to keep the promises you made to yourself about controlling or cutting down your drinking?
16. Have you ever tried to control your drinking by making a change in jobs, or moving to a new location?
17. Do you try to avoid family or close friends when you are drinking?
18. Are you having an increasing number of financial and work problems?
19. Do more people seem to treating you unfairly without good reason?
20. Do you eat very little or irregularly when you are drinking?
21. Do you sometimes have the 'shakes' in the morning and find that it helps to have a little drink?
22. Have you recently noticed that you cannot drink as much as you once did?
23. Do you sometimes stay drunk for several days at a time?
24. Do you sometimes feel very depressed and wonder whether life is worth living?
25. Sometimes after periods of drinking, do you see or hear things that are not there?
26. Do you get terribly frightened when you have been drinking heavily?

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