Click Home - Choosehelp.com

Home
Treatment Centers
Rehab Programs
Topics & Issues
Free Downloads
News

ChooseHelp Search Search:

Enhanced ChooseHelp
searches on Google

Click here to turn on enhanced search results from ChooseHelp on your Google searches by subscribing to our Google Subscribed Links profile.

Adult Rehab Programs
Exclusive Luxury Rehabs
Men-Only Rehabs
Women-Only Rehabs
Inpatient Detox Facilities
Long Term Rehabs
Psychiatric Treatment/ Dual Diagnosis
Christian Rehab Programs
Executive Rehab Programs
Chronic Pain & Prescription Drugs Programs
Teenagers & Young Adults
Teen Drug Rehabs
Long Term Adolescent Treatment
Therapeutic Boarding Schools
All-Girls Therapeutic Boarding Schools
Outdoor/Wilderness Treatment Programs
Mental Wellness Programs
PTSD Treatment Programs
Gambling Addiction Programs
Gaming & Internet Addiction Programs
Sexual Addiction Programs
Eating Disorders
California Drug & Alcohol Rehabs
Florida Drug & Alcohol Rehabs

Home

Do you need treatment?

Do you need treatment?

Find out if you or someone you know is at risk. Please tell us about yourself and answer the following yes/no questions about drug and alcohol use, then press "submit". A ChooseHelp Addiction Specialist will assess the answers you provide here. If you have further questions, please call our helpline 24 hrs a day on +1-800-403 3304. The information you provide will be treated with strictest confidence.

Your Contact Details

Your Name (Required)

Telephone Number (Required)

Your E-Mail Address (Required)

Questionnaire

1. Do you ever look forward to the end of a day’s work so you can have drinks or drugs?

Yes
No

2. Do you sometimes look forward to the end of the week so you can have some fun drinking and/ or using drugs?

Yes
No

3. Do you find that you can often drink or use more than others and not show it too much?

Yes
No

4. Have you noticed that you are able to handle more liquor or drugs than you did when you were first drinking or using?

Yes
No

5. Do you often find that you wish to continue drinking or using after your friends say that they have had enough?

Yes
No

6. Do you ever take more than the prescribed amount of medication?

Yes
No

7. Do you usually have drinks or drugs before going to a party or out to dinner?

Yes
No

8. Do you sometimes drink at home alone, or when no one else is drinking?

Yes
No

9. Do you ever stop in a bar or club and have a couple of drinks alone?

Yes
No

10. Do you sometimes use drugs alone?

Yes
No

11. Have you ever been arrested for a DWI or DUI?

Yes
No

12. Do you ever drink or use drugs to calm your nerves, reduce tension, or relieve stress?

Yes
No

13. Do you find it difficult to enjoy a party or dance if there is nothing to drink or no drugs to take?

Yes
No

14. Have you taken a drink in the morning or taken drugs to ease a hangover?

Yes
No

15. The morning following an evening of drinking or "drugging," have you ever been unable to remember everything that happened the night before?

Yes
No

16. Do you sometimes stash a bottle or drugs around the house in case you may need a drink or drugs sometime?

Yes
No

17. Do you sometimes feel a little guilty about your drinking or using?

Yes
No

18. Have you ever had the shakes or hand tremors in the morning after?

Yes
No

19. Did you ever stop in to have a drink or two and then have several more than you planned?

Yes
No

20. Have you ever missed work or school because of a hangover?

Yes
No

21. Have you often failed to keep the promises you have made to yourself about controlling or cutting down on your drinking or using?

Yes
No

22. Do you eat very little or irregularly when you are drinking or using?

Yes
No

23. Do you have a very definite preference to associate with people who drink or use drugs as opposed to those who do not?

Yes
No

24. Do you sometimes do things while drinking or using that you are ashamed of later?

Yes
No

25. Do you sometimes stay drunk or high for several days at a time?

Yes
No

Are You Interested in Private Rehab Treatment? (Required)

One of our admission counselors will contact you if you tick "Yes". Please ensure that the contact details you provided above are correct.

Yes
No

Program Selection

"Will Obama End The Drug War?"

Yes, treatment favored over prison time
No, law-enforcement still tops drug agenda

Votes : 55

Results

Copyright © 2008 by ChooseHelp.com - All rights reserved

Terms of Use
Disclaimer
Your Privacy
About Us
Contact
Site Map

Amazon.com Widgets