Indicate Yes (Y) or No (N) in the space provided for each of the following questions:
______ 1. Are you unable to stop drinking/using after a particular number of drinks/amount of drugs?
______ 2. Do you need a drink or other drugs to get motivated?
______ 3. Do you often forget what happened while you were drinking/using?
______ 4. Do you drink or use alone?
______ 5. Have others annoyed you by saying you drink or use drugs too much?
______ 6. Have you been involved in fights with your friends, family, or others while you were drunk or high?
______ 7. Have you said or done anything while you were drinking or using that you later regretted?
______ 8. Have you destroyed or damaged property while drinking or using?
______ 9. Do you drive while high or drunk?
______ 10. Have you been physically hurt while drinking or using?
______ 11. Have you been in trouble with school authorities or campus or local police because of your drinking or other drug use?
______ 12. Have you lost or dropped friends due to your alcohol or other drug use?
______ 13. Do you think you are a normal drinker/user despite friends’ comments that you drink or use too much?
______ 14. Have you ever missed classes because you were too hung over or high to get there?
______ 15. Have you ever done poorly on an exam or an assignment because of drinking or using?
______ 16. Do you think about drinking or getting high a lot?
______ 17. Do you feel guilty or self-conscious about your drinking or drug use?
______ 18. Do you drink or use to cope with shyness/social anxiety or build up self-confidence?
______ 19. Do you have to have a drink or another drug to “loosen up” and have fun at social events?
______ 20. Do you ever have financial problems due to buying alcohol or other drugs?
______ 21. Do you drink or get high to escape from school, home or other worries?
______ 22. Do your friends drink or use less than you?
______ 23. Has drinking or using other drugs ever landed you in a hospital, clinic or jail?
______ 24. Do you think you have a problem with alcohol or other drugs?
A “yes” to one of these questions should serve as a warning sign. If you answered “yes” to 3 or more of these questions, you are using alcohol or other drugs in ways that may be harmful and could be a problem drinker or user.
For more information or assistance, call UCSC Counseling &
Psychological Services at 831-459-2628