Submit
About Addiction
Alcohol
Drugs
Prescription Medications
Problem Gambling & Gaming
Tobacco & Nicotine
Marijuana
Current Concerning Trends
Service Provider Portal
En Español
Contact Us
About Coca
Our Staff & Board
Our Programs
Training & Events
Our Collaborations
COCA Blog
Prevention
Awareness Campaigns
Education Services
Treatment Options
Paying For Treatment
Find a Treatment Provider
Information for Friends & Family
Recovery
RISE Center
Pathways To Recovery
Recovery Support Services
Case Management
Support for Friends & Family
Stories of Recovery
Share Your Story
Read Stories
Inspirational Gallery
Rise Center
Get Help Now
About Addiction
About Addiction
Alcohol
Drugs
Prescription Medications
Problem Gambling & Gaming
Tobacco & Nicotine
Marijuana
Current Concerning Trends
About COCA
About COCA
Our Staff & Board
Our Programs
Training & Events
Our Collaborations
COCA Blog
Prevention
Prevention
Awareness Campaigns
Education Services
Treatment Options
Treatment Options
Paying For Treatment
Find a Treatment Provider
Information for Friends & Family
Recovery
Recovery
RISE Center
Pathways To Recovery
Stories of Recovery
Service Provider Portal
En Español
Contact Us
Rise Center
Addiction Assessment
Step
1
of
4
25%
Have you ever felt that you ought to cut down on your drinking or drug use?
*
Yes
No
Have people annoyed you by criticizing your drinking or drug use?
*
Yes
No
Have you ever felt bad or guilty about your drinking or drug use?
*
Yes
No
Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover?
*
Yes
No