admin . While I begin drinking with rezeptfrei potenzmittel I do not need to cease: ___ Yes ___ No
23. I occasionally have difficulty quitting after 1 or two drinks: ___ Yes ___ No
24. I will never have Only One beverage: ___ Yes ___ No
25.
26.
27. I consider drinking or using drugs more than I need to: ___ Yes ___ No
28. I can not stop my urge or desire to drink or use medication: ___ Yes ___ No
29.
30.
31.
32.
33. I drank used medication in a family home and he or she got mad with me___ Yes ___ No
34. Drinking and drugging as well as the consequences of ingesting drugging has consumed too much time in my entire life: ___ Yes ___ No
35. I have been hospitalized for ingesting with medication and May have expired: ___ Yes ___ No
36. I have a Tough time having a Fantastic time without consuming with: ___ Yes ___ No
37. I’ve drunk or used drugs a great deal on events and functioned fine: ___ Yes ___ No
38. I occasionally drink or use medication to get stained or drunk: ___ Yes ___ No
39. I’ve wasted a Great Deal of money and time drinking or utilizing: ___ Yes ___ No
40. I love to get wasted each time I drink utilize medication: ___ Yes ___ No
41. I have been on ingesting medication using binges for two or more times in a row: ___ Yes ___ No
42. I’ve missed out on significant events while drinking or using: ___ Yes ___ No
43. I’ve missed out on the memories of holidays Once I used or drank: ___ Yes ___ No
44. I awakened while ingesting or using medication: ___ Yes ___ No
45. I’ve passed out while ingesting or using medication and did not come home: ___ Yes ___ No
46. I might never walk out of a pub unless it shut or I handed : ___ Yes ___ No
47.
48. My bartender knows my name along with my usual beverage: ___ Yes ___ No
49.
50. I love to party and ingesting or drugging at parties generally puts me in trouble: ___ Yes ___ No
51.
52. I said did things while ingesting drugging I regretted after: ___ Yes ___ No
53. Drinking or drugging induced me to deliver up the past and also make things worse: ___ Yes ___ No
54. My sex life has suffered because of some excessive drinking and drug usage: ___ Yes ___ No
55. I’ve slept with quite ugly men and/or girls while ingesting and or using medication: ___ Yes ___ No
56. My drinking and/or medication usage has resulted in unprotected sex and a kid: ___ Yes ___ No
57.
58. When I had been drunk or using drugs I have pregnant I got somebody pregnant
59. I had an abortion or somebody that I have pregnant had an abortion because of my drinking
60. My drinking or medication usage has prevented me out of getting positive experiences, it diminished my college and business chances and I’ve shown up at significant meetings after having medication or with alcohol in my breathe: ___ Yes ___ No
61. My drinking medication use has caused me people humiliation: ___ Yes ___ No
