Back to questionnaire index

1. In the last 12 months, has using alcohol or other drugs occasionally caused you to miss work or school, perform poorly at work or school, neglect your children or fail to perform household duties?
2. In the last 12 months, while under the influence of alcohol or some other drug, have you occasionally driven a car, operated dangerous machinery or participated in potentially hazardous sports ( such as swimming, rock climbing)
3. In the last 12 months, have you ever been arrested for driving while intoxicated, disorderly conduct or any other substance-related offense?
4. In the last 12 months, have you continued drinking or using drugs despite fights or arguments with people close to you expressing concern about drug or alcohol use?

This site is designed by David Ogot snr. And hosted by
Science & Engineering Research Center
©goinghomedotcom 2001 - 2009
Disclaimer   Privacy Policy