Fort Hamilton Hospital


 
Alcoholism / Drug Abuse

Anxiety

Depression

OCD





1. Have you ever felt you should Cut down on your drinking?

Yes No

2. Have people Annoyed you by criticizing your drinking

Yes No

3. Have you ever felt bad or Guilty about your drinking?

Yes No

4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)?

Yes No