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Your Experiences with Alcohol

Alcohol abuse is the misuse of alcohol in a way that negatively affects your life. Alcohol abuse is typically characterized by binge drinking.
Alcoholism is an alcohol dependence. This is a chronic, and life long disease where the person feels a physical dependence to consume alcohol in order to feel "normal". A reduction in alcohol consumption can result in withdrawal symptoms and the person will need outside help to stop drinking.
Alcohol abuse is the misuse of alcohol in a way that negatively affects your life. Alcohol abuse is typically characterized by binge drinking.
Alcoholism is an alcohol dependence. This is a chronic, and life long disease where the person feels a physical dependence to consume alcohol in order to feel "normal". A reduction in alcohol consumption can result in withdrawal symptoms and the person will need outside help to stop drinking.
Do you believe that you abuse alcohol?
Yes, daily
Yes, weekly
Yes, monthly
No
Other
Please Specify:
Do you believe that you have alcohol dependence/ alcoholism.
Yes
No
I am not sure
Is anyone in your family an alcoholic? (Select all that apply)
Biological Mother
Biological Father
Grandfather (Mom side)
Grandfather (Dad side)
Grandmother (Mom side)
Grandmother (Dad side)
Siblings
Spouse
No
If you chose anyone in the previous question, would you say that this has put any strain on your family or relationship with that family member?
Yes
No
N/A
Codependency is a psychological condition or relationship in which a person is controlled or manipulated by another person who is affected with alcoholism.
Being an enabler means that your behavior allows someone to continue their self- destructive patterns of behavior. Many people who are enablers typically do not do it intentionally.
Codependency is a psychological condition or relationship in which a person is controlled or manipulated by another person who is affected with alcoholism.
Being an enabler means that your behavior allows someone to continue their self- destructive patterns of behavior. Many people who are enablers typically do not do it intentionally.
Do you see yourself as being a codependent, or an enabler with someone who struggles with alcoholism?
Yes, a codependent
Yes, an enabler
Both
Neither
N/A
Other
Please Specify:
Do you believe that being an alcoholic is a choice or disease?
Choice
Disease
If you are an alcoholic, have you received treatment to stop drinking?
Yes, it worked
Yes, it did not work
No
N/A
Do you know someone that has received treatment for alcoholism?
Yes, it worked
Yes, it did not work
No
N/A
Other
Please Specify:
Do you find yourself being judgmental or supportive towards people that suffer from alcoholism?
Judgmental
Supportive
Other
Please Specify:
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