1) Have you ever felt you should cut down on your drinking or drug use?

Yes
No

2) Have people annoyed you by criticizing your drinking or drug use?

Yes
No

3) Have you ever felt bad or guilty about your drinking or drug use?

Yes
No

4) Have you ever had a drink or used drugs first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?

Yes
No