Addiction Recovery Quiz

Help an addiction coach gauge, through a set of scored statements, whether a prospective client needs professional support.

Use this template

Date

Instructions: indicate how much you agree with each of the following statements.

(1) I think I have an alcohol or drug problem

(2) I might have an alcohol or drug problem, but it isn't that bad yet

(3) I sometimes worry that I could develop a severe alcohol or drug problem in the future

(4) I think about stopping my alcohol or drug use but I haven't tried to quit yet

(5) I have an alcohol or drug problem, but feel I can handle it on my own

(6) I don't think inpatient treatment is a good option for me

(7) I can't afford to spend thousands of dollars on rehab

(8) I'm not willing to take time away for conventional treatment

(9) I've been through rehab in the past. I was unsuccessful at maintaining recovery and feel my treatment was missing something I needed

(10) I know people in successful long-term recovery from alcohol and/or drug problems

(11) I have promised myself and others many times that I would cut down or stop my drinking or drug use

(12) I have tried to stop my drinking or drug use many times

(13) I can name three things in my life that would improve if I stopped my drinking and/or drug use

(14) I can name three bad things that might happen to me if I continue my drinking or drug use

(15) I have some family and friends who will support me if I try to stop my drinking and/or drug use

(16) I'm afraid of losing relationships with people I love because I can't seem to stop the substance use

(17) I'm surrounded by family members and friends who would make it very hard for me to stop my drinking and/or drug use

(18) I currently have a plan to stop my drinking and/or drug use, but I have not acted on the plan yet

(19) I live in a community with many recovery resources that could help me

(20) I've tried 12-step meetings in the past, but still couldn't stay clean and sober

(21) I live in a community with many recovery support meetings per week

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