DISMAC Questionnaire
Do you have a drinking problem?
| True |
False |
1. I often drink in larger amounts or over a longer period of time than intended. | |
| True |
False |
2. I have had one or more unsuccessful attempts to cut down or control my alcohol use. | |
| True |
False |
3. A great deal of my time is spent in activities necessary to either get alcohol or recover from its use. | |
| True |
False |
4. I either a) frequently miss class, work, or home responsibilities due to alcohol withdrawl, or b) I am frequently intoxicated while driving, while at class, while at work, or while performing home responsibilities. | |
| True |
False |
5. I have given up important social, recreational, or occupational activities because of my alcohol use. | |
| True |
False |
6. I continue to use alcohol despite knowing I have a persistent or recurrent social, psychological, or physical problem made worse by alcohol use. | |
| True |
False |
7. I either a) need markedly increased amounts of alcohol (at least 50% more than previously) in order to achieve intoxication or desired effect; or b) if I drink the same as previously, I have a markedly diminished effect from drinking. | |
| True |
False |
8. I experience withdrawl symptoms (sweating, shaking, elevated blood pressure, facial flushing) when I stop or rapidly reduce my drinking. | |
| True |
False |
9. I often drink to remove or avoid withdrawl symptoms. | |
|
Discussing drinking patterns with a counselor for any score above 0 is recommended. | |||
