Alcohol Self Assessment My name is … My (10 digit) mobile number is … Please call me back on this number. I drink …---Once a month or lessEvery weekMore than 3 times a week I drink …---Mostly in the eveningMostly evenings, sometimes in the morningAny time of the day When I don't drink I …---Feel nothingFeel restlessFeel restless & have tremors In one drinking session, I have …---Less than 3 drinks3 to 5 drinksMore than 5 drinks The next day after drinking I remember …---Everything from the previous nightSome things from the previous nightNothing from the previous night My relatives & friends …---Don’t know of my drinking habitAre concerned of my drinking habitAre concerned & ask me to stop/reduce drinking After drinking I feel …---NothingBad & guilty sometimesBad & guilty every time Because of drinking, I have …---Never been late or missed workSometimes been late or missed workOften been late or missed work Because of drinking, I have …---Never been injured or injured othersSometimes been injured or injured othersOften been injured or injured others I have tried to quit drinking …---NeverOnceMore than once Search for: The Happiness Guide Download our free ebook & learn how to live a mentally healthy & stress free life. Download Now → Blog CategoriesArticles Media News & Updates Recent Posts Aadhar Hospital Introduction Does your family member or somebody you know have these problems? Are you feeling depressed? Managing marital and interpersonal problems Mood fluctuations & anger outbursts….are these your problems?