|
1. Has there been
a recent incident or crisis that has you considering seeking help?
2. Do you find it difficult to stop engaging in the
behavior once you have started?
3. Has your behavior caused problems at home and/or
with family?
4. Do you feel guilty or remorseful about your
behavior?
5. Have you experienced any changes in your
behavior or mood (i.e. excessive sadness, anger, etc.)?
6. Has your behavior affected your health or the
health of your loved ones?
7. Have you ever been hospitalized as a result of
your behavior? Do you engage in the behavior to help you cope?
8. Has your behavior ever caused physical injury to
yourself or others?
9. Have you been charged with a criminal offense as
a consequence of your behavior?
10. Is a significant portion of your day spent engaged in the behavior,
thinking about engaging in the behavior
and/or
planning to engage in the behavior?
11. Does your behavior effect your sleeping habits (i.e. difficultly
going to sleep or difficulty waking up)?
12. Are you having a hard time working or holding a job?
13. Are you having financial problems?
14. Have you experienced any recent traumatic events or changes in your
life (i.e. abuse, divorce, death, etc.)?
15. Are you having difficulty managing your anger?
16. Are you have trouble getting along with others?
17. Do you have difficulty with confidence or self-esteem?
18. Do you think you have a problem?
This
assessment is intended to help you think about the behavior that
brought you to this website. It is not intended to provide a diagnosis.
If you
responded ‘yes’ to three or more of the questions, PLEASE ‘Contact Us’
to . We are here to
assist you and your loved ones through the first steps to recovery.
|