Self Assessments

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The following link can help you self assess your current drinking patterns and offer some feedback:

www.notes.camh.net/efeed.nsf/feedback

Self Assessment Questionnaire

Harmful consequences are unwanted, negative complications resulting from use. Listed below are some typical examples. Check yes to the questions that are true for you or have ever been true for you to help you critically examine your drinking.

Social Self

Social self is defined as the way one relates to others and the ability to feel comfortable with other people. Initially and for sometime afterward alcohol may seem to enhance certain experiences. People may seem more accepting or less judgmental, and you might experience “fitting in.” You may convince yourself that experiences are more enjoyable and conversation more relaxed. These beliefs can help rationalize the negative experiences that might also occur.

Question Yes No
1. My girlfriend/boyfriend has expressed concern about my use. ____ ____
2. I have changed friends to be with people who use like I do. ____ ____
3. My friends have sometimes called me a “drunk.” ____ ____
4. I have argued with friends about my use. ____ ____
5.I have done things to my friends while drinking that I have regretted later. ____ ____
6. I have made plans with friends, but didn’t show because a “better” opportunity to drink came up. ____ ____
7. I have lied to friends/others about how much I drink. ____ ____
8. I have upset or lost friends because of my drinking. ____ ____
9. Some of my friends have avoided me since I started drinking more. ____ ____
10. If I had a choice between being with my straight friends or drinking friends I would choose the drinking friends. ____ ____
11. I have endangered the lives of my friends through my use (driving while drinking, taking foolish risks). ____ ____
12. Being under the influence makes me feel less shy. ____ ____

School

In the beginning stages of drinking, the experience and effect can be subtle on school work. However with increased frequency and amount drinking, concentration, motivation and memory can be effected.

Question Yes No
1. I have a reputation for being a partier. ____ ____
2. I have come close or have gotten caught under the influence. ____ ____
3.I have skipped or missed class because of using or being hung-over. ____ ____
4. My grades are not what I expect them to be. ____ ____
5. My motivation for school work has been declining. ____ ____
6. I skip class more often since I have been drinking. ____ ____
7. I can’t concentrate on classes as well since I started drinking more often. ____ ____
8. The university has asked that I have an evaluation. ____ ____

Family

Families often do not know what is going on but they begin to mention changes they are noticing. You may tell yourself that nothing is different and your family is just being paranoid or picking on you. Denial of these changes can negatively affect family members and family life.

Question Yes No
1. Parents have asked if anything is going on due to my mood. ____ ____
2. Parents have asked me if I was on anything or if I am drinking too much. ____ ____
3. Parents have found my alcohol. ____ ____
4. Parent/friends have waited up to see what I was like when I got home. ____ ____
5. Trust with my parents has changed. ____ ____
6. My siblings have expressed concern or seen changes in me. ____ ____
7. I find it harder to talk to my family since I have been drinking more. ____ ____
8. I avoid family functions because I want to get drunk or have been drunk at family functions. ____ ____
9. I isolate myself more from my family. ____ ____
10. I have lied to my family about my drinking. ____ ____

Financial

Money can become an issue with the need to support drinking or other use. Stress about money can become an issue in taking care of personal needs and appearance as it might be spent on use in place of basic necessities.

Question Yes No
1. Many times I am broke because I use too much money for alcohol. ____ ____
2. I owe people money for alcohol. ____ ____
3. I have stolen or sold things to support my drinking. ____ ____
4. I have put off buying things I need to use the money for alcohol. ____ ____
5. I have gambled to get money for alcohol. ____ ____
6. Most of my money goes for or I have begun to spend more money on alcohol. ____ ____
7. I have done things I am ashamed of in order to get money for drinking. ____ ____

Legal

Though you may not have experienced any legal problems resulting from your drinking, you may have had some close calls. Legal consequences often affect future opportunities such as employment, admittance to academic programs, or going abroad.

Question Yes No
1. I have done risky or foolish things I could get arrested for while under the influence. ____ ____
2. I have gotten in a fight and come close to or been arrested while I have been under the influence. ____ ____
3. I have been fined by the courts for alcohol use. ____ ____
4. I have had legal problems related to my drinking. ____ ____

Personal

Effects of alcohol can influence your life in many ways, ways in which you are afraid to maybe admit to yourself, let alone anyone else. You may not always recognize them until somebody else points it out. Even with awareness, denial can play a role in finding other excuses for things that happened or blame placed on others.

Question Yes No
1. I have done things I am ashamed of while under the influence. ____ ____
2. I have given up interest, sports, hobbies, and other events I used to do for fun. ____ ____
3. I have had blackouts or memory loss while drinking. ____ ____
4. My memory is not as good as it was before drinking. ____ ____
5. I get anxious and sometimes preoccupied about drinking. ____ ____
6. When I am not drinking I think about and look forward to when I can drink. ____ ____
7. I don’t seem to care about things I used to as much. ____ ____
8. My goals have changed since I have been drinking, it is hard to set new goals. ____ ____
9. I have hurt myself physically when under the influence (UPI’s unidentified party injuries) . ____ ____
10. I find it harder to talk to friends/other people when I am not under the influence. ____ ____
11. I have done things while under the influence that when I thought about them later,it really scared me. ____ ____
12. have overdosed on alcohol by passing out. ____ ____
13. I have had to go to the hospital because of being injured while under the influence. ____ ____
14. I have had suicidal thoughts since I have been drinking. ____ ____
15. I have seriously thought of suicide. ____ ____
16. I have tried to cut down on use because I have worried about what it may be doing to me. ____ ____
17. I have tried unsuccessfully to quit in the past and question if I can do it successfully. ____ ____
18. I have done things that I am ashamed of in order to get alcohol. ____ ____
19. I have found myself hooking up more when under the influence. ____ ____
20. I have gained weight since coming to college and drinking regularly. ____ ____

Hopefully this self assessment has helped you to evaluate your use and make decisions that will best work toward your success as a student, a leader within your community and family member. The site provides self-help tips and strategies that can aide in quitting and also what to expect should you decide to quit.