1. Do you often worry about a family member’s drinking or drug use? |
Yes
No |
2. Does one of your family member’s use of alcohol cause fights and arguments? |
Yes
No |
3. Have you ever felt guilty, apologetic or responsible for the drinking or drug use of someone else? |
Yes
No |
4. Has a family member’s drinking or drug use ever ruined a special occasion? |
Yes
No |
5. Have you ever felt afraid after a family member started drinking or using? |
Yes
No |
6. Do you find yourself covering up for the consequences of someone else’s drinking or drug use? |
Yes
No |
7. Have you ever tried to control the drinker/drug user’s behavior by hiding car keys, pouring out alcohol, hiding drugs? |
Yes
No |
8. Have you ever lost sleep because of a family member’s drinking or drug use? |
Yes
No |
9. Do you find yourself not talking to friends or family members about what is going on leaving you feeling isolated and alone? |
Yes
No |
10. Does you family member have periods of remorse after drinking or using and apologize for his/her behavior? |
Yes
No |