This questionnaire is designed to give us a better understanding of what strategies you are using in your treatment.
Each statement describes a situation or thought that a person might try to help them not use alcohol. Please indicate how often you might make use of a particular situation or thought to help you at the present time.
There are FIVE possible responses to each of the items in the questionnaire:
1 = NEVER
2 = SELDOM
3 = OCCASIONALLY
4 = FREQUENTLY
5 = REPEATEDLY
1 = NEVER
2 = SELDOM
3 = OCCASIONALLY
4 = FREQUENTLY
5 = REPEATEDLY
1. I keep things around my home or work that remind me not to drink.
2. I engage in some physical activity when I get the urge to drink.
3. I do something nice for myself for making efforts to change.
4. I can talk with at least one special person about my drinking experiences.
5. I get upset when I think about illnesses caused by drinking.
6. I tell myself that I can choose to change or not to change.
7. I take some type of medication for my drinking problem.
8. I change personal relationships which contribute to my drinking.
9. I see signs in some public places trying to help people not to drink.
10. I stop to think about how my drinking is hurting people around me.
11. I consider that feeling good about myself includes changing my drinking behavior.
12. I think about information from television and radio on how to quit drinking.
13. Someone in my life helps me to face my drinking problem.
14. I remove things from my home or work that remind me of drinking.
15. I calm myself when I get the urge to drink.
16. I reward myself when I don't give in to my urge to drink.
17. I have someone to talk with who understands my problems with drinking.
18. Warnings about the health hazards of drinking have an emotional effect on me.
19. I use will power to keep from drinking.
20. I take some type of drugs to help me not drink.
21. I avoid people who encourage drinking.
22. I notice that people with alcohol problems are making known their desire not to be pressed to drink.
23. I am considering the idea that people around me would be better off without my problem drinking.
24. I get upset with myself when I think about my problem drinking.
25. I read newspaper stories that may help me quit drinking.
26. Someone in my life lets me know about how my drinking is affecting me personally.
27. I avoid situations that encourage me to drink.
28. I try to think about other things when I begin to think about drinking.
29. Others make life difficult for me when I drink.
30. I have someone who listens when I want to talk about my drinking.
31. Stories about alcohol and its effects upset me.
32. I make myself aware that I can choose to overcome my drinking if I want to.
33. I use tranquilizers to help me keep from drinking.
34. I avoid people who are heavy drinkers.
35. I find society changing in ways that make it easier for me to overcome my drinking problems.
36. I have strong feelings about how much my drinking has hurt the people I care about.
37. I become disappointed with myself when I depend on alcohol.
38. I look for information related to problem drinking.
39. I have someone who tries to share their personal experiences of alcohol with me.
40. I use reminders to help me not to drink.
41. I do something else instead of drinking when I nedd to deal with tension.
42. I don't let myself have fun when I drink.
43. I have someone whom I can count on to help me when I'm having problems with drinking.
44. I read newspaper stories that can affect me emotionally about my drinking.
45. I tell myself that if I try hard enough I can keep from drinking.
46. I take antabuse to help me not drink.
47. I leave places where people are drinking.
48. I seek out social situations where people respect the rights of others to not drink.
49. I stop and think that my drinking is causing problems for other people.
50. I feel more competent when I decide not to drink.
51. I seek out groups of people who can increase my awareness about probles of drinking.
52. I have someoine who helps me "see through" my excuses for drinking.
53. I stay away from places generally associated with my drinking.
54. I find that doing things is a good substitute for drinking.
55. I spend time with people who reward me for not drinking.
56. Someone in my life tries to make me feel good when I don't drink.
57. I attend meetings that help me express how emotionally destructive drinking has been in my life.
58. I make commitments to myself not to drink.
59. I change my diet to help me overcome drinking.
60. I go places where drinking is not generally accepted.
61. I see advertisements on television about how society is trying to help people not drink.
62. I stop and think that drinking and driving causes many problems for other people.
63. I think about the type of person I will be if I am in control of my drinking.
64. I think about information that people have personally given me on the benfits of quitting drinking.
65. My physical reactions to alcohol help me to realize that alcohol is a problem for me.
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