Do I have a drug or alcohol problem?

DO I HAVE A DRUG OR ALCOHOL PROBLEM?

I drink or use drugs so I won’t feel shy with other people.
YES_____   NO_____
I feel uncomfortable in social setting where there are no alcohol or drugs.
YES_____   NO_____
I sometimes drink or use drugs when I’m alone.
YES_____   NO_____
When I feel pressure or stress, I drink alcohol or use drugs more.
YES_____   NO_____
I’m sometimes late for school or work because of a hangover.
YES_____   NO_____
I buy alcohol or drugs when I really can’t afford it.
YES_____   NO_____
I have trouble stopping after 1 or 2 drinks, “hits,” “lines,” etc.
YES_____   NO_____
Some of my family or friends are worried about my drinking alcohol or drug usage.
YES_____   NO_____
I sometimes lie about my “using.”
YES_____   NO_____
I’ve made promises to myself to cut down or stop.
YES_____   NO_____
I sometimes feel guilty after “using.”
YES_____   NO_____
I have gotten into fights when “using.”
YES_____   NO_____
I’ve had at least one blackout when I couldn’t remember anything that happened while I was “using.”
YES_____   NO_____
I need more alcohol or drugs than I used to in order to get the same effect.
YES_____   NO_____
I have decided to stop “using” for a week or so, but it only lasted for a couple of days.
YES_____   NO_____
I wish people would mind their own business about my “using” and stop telling me what to do.
YES_____   NO_____
I have switched from using one substance to another in the hopes that I could handle it better.
YES_____   NO_____
I have “used” first thing in the morning.
YES_____   NO_____
I envy people who can “use” without getting into trouble.
YES_____   NO_____
I have had problems connected to my using.
YES_____   NO_____
My using has caused problems at home.
YES_____   NO_____
I used more when people weren’t looking.
YES_____   NO_____
I can stop anytime I want to.
YES_____   NO_____
I think my life would be better if I quit.
YES_____   NO_____


Please contact Dr. Kaufman for results of test.

PLEASE DO NOT USE THE SCHEDULE APPOINTMENT LINK BELOW. 

CALL: 1-818-730-2960    or

EMAIL:  [email protected] 

Schedule Appointment

Click Here

Helpful Forms

Click here to view and print forms for your appointment.

Click Here
background of the page