Addiction Screening Test

This Addiction Screening Test is not intended to be a diagnostic tool but instead is meant to give you and I a better idea what is happening to you in terms of addictive behavior.

Answer the questions below to the best of your ability.

Rate your answers as follows:

  (1) Sometimes
(2) Often
(3) Never - or I don't know

1. Has your addiction stopped being fun?
1 2 3
2. Do you ever do it alone?
1 2 3
3. Is it hard for you to imagine a life without it?
1 2 3
4. Do you find that your friends are allienated by your addiction?
1 2 3
5.  Do you partake in your addiction to avoid dealing with your problems?
1 2 3
6. Do you use your addiction to cope with your feelings?
1 2 3
7. Does your addiction let you live in a privately defined world?
1 2 3
8. Have you ever failed to keep promises you made about cutting down or controlling your addiction?
1 2 3
9. Has your addiction caused problems with memory, concentration, or motivation?
1 2 3
10. When you can't partake in your addiction, do you feel anxious or worried about how to get more?.
1 2 3
11. Do you plan your life around your addiction?
1 2 3
12.  Have friends or relatives ever complained that your addiction is damaging your relationship with them?
1 2 3
13. Does your addiction make you careless of your family's welfare?
1 2 3
14.  Does your addiction help you because you are shy with other people?
1 2 3
15. Is your addiction affecting your reputation?
1 2 3
16. Does your addiction cause you to have difficulty in sleeping?
1 2 3
17. Is your addiction jeopardizing your job or business?
1 2 3
18. Have you ever had a complete loss of memory as a result of your addiction?
1 2 3
19. Has your physician ever treated you for your addiction?
1 2 3
20. Have you ever been to a hospital or institution on account of your addiction?
1 2 3

Enter your contact information below. I will contact you within the next day to discuss your results and the possibility of scheduling an appointment.

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Randi Fredricks, LMFT     ♦     1711 Hamilton Ave Suite A, San Jose, California, 95125     ♦     408-315-0645

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is established by the use of this site. Randi Fredricks is a Coach and Licensed as a Marriage Family Therapist MFC 47803 and not licensed
with the California Medical Board or the Bureau of Naturopathic Medicine. © 2001-2010 Randi Fredricks. All rights reserved.
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