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Online Assessment- alcohol drug detox interventions

Use this assessment only as a tool to help you determine if your loved one may be helped by alcohol drug detox interventions.

Yes
No
 

......

Have you ever told lies to cover up someone else's alcohol or drug use?


Do you ever threaten a loved one with threats such as, "If you don't stop drinking or using drugs, I'll leave you" or "....I'll kick you out"?


Have you been hurt, scared or embarrassed by a drinker's or a drug addict’s behavior?


Do you feel like a failure because you can't control the drinking or drug use of a loved one?


Do you feel angry, confused, scared or depressed most of the time due to a loved ones drug or alcohol problem?


Do you feel there is no one who understands your problems?


Have you refused social invitations out of fear or anxiety that your loved one's behavior may be unpredictable due to drinking or drugs?
Do you have a loved one who has suddenly lost a lot of weight or sometimes sleeps for days at a time?
Does a loved one or coworker get angry or defensive when you discuss the topic of their addiction?
...... Do you have a coworker or employee who frequently misses work or is performing poorly due to a suspected problem with drugs or alcohol?
...... Have you thought about reporting or firing an employee who you suspect is abusing drugs?


Do you worry about how much or how often someone else drinks or uses drugs?

If you clicked "Yes" to any of these questions. Your loved one may have a problem with addiction and need professional help. Consider calling our drug and alcohol experts for a more in-depth assessment.

To submit the above results please click the "Submit Contact Form" button below.

If you wish to discuss the results with an intervention specialist, fill out the contact details below. A representative will contact you to discuss your situation at a time which is convenient for you.

All fields are required. All information is strictly confidential

Your Name
Phone Number
Email Address
Best time to contact you
Your relation to client
Any other information about your
situation that may help.
Substance(s) used
 
   
     
 
   
     
 
   
  Use this assessment only as a tool to help you determine if your loved one may be helped by an Intervention.

   
 
   
 
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