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1. Have you ever thought that one of your parents had a drinking problem? |
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2. Have you ever lost sleep because of a parent's drinking? |
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3. Did you ever encourage one of your parents to quit drinking? |
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4. Did you ever feel alone, scared, nervous, angry or frustrated because a parent was not able to stop drinking? |
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5. Did you ever argue or fight was a parent when he or she was drinking? |
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6. Did you ever threaten to run away from home because of a parent's drinking? |
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7. Has a parent ever yelled at or hit you or other family members when drinking? |
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8. Have you ever heard your parents fight when one of them was drunk? |
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9. Did you ever protect another family member from a parent who was drinking? |
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10. Did you ever feel like hiding or emptying a parent's bottle of liquor? |
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11. Do many of your thoughts revolve around a problem drinking parent or difficulties that arise because of his or her drinking? |
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12. Did you ever wish that a parent would stop drinking? |
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13. Did you ever feel responsible for or guilty about a parent's drinking? |
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14. Did you ever fear that your parents would get divorced due to alcohol misuse? |
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15. Have you ever withdrawn from and avoided outside activities and friends because of embarrassment and shame over a parent's drinking problem? |
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16. Did you ever feel caught in the middle of an argument or fight between a problem drinking parent and your other parent? |
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17. Did you ever feel that you made a parent drink alcohol? |
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18. Have you ever that a problem drinking parent did not really love you? |
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19. Did you ever resent a parent's drinking? |
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20. Have you ever worried about a parent's health because of his or her alcohol use? |
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21. Have you ever been blamed for a parent's drinking? |
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22. Did you ever resent a parent's drinking? |
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23. Did you ever think your father was an alcoholic? |
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24. Did you ever wish you home could be more like the homes of your friends who did not have a parent with a drinking problem? |
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25. Did a parent ever make promises to you that he or she did not keep because of drinking? |
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26. Did you ever think your mother was an alcoholic? |
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27. Did you ever wish that you could talk to someone who could understand and help the alcohol-related problems in your family? |
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28. Did you ever fight with your brothers and sisters about a parent's drinking? |
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29. Did you ever stay away from home to avoid the drinking parent or your other parent's reaction to the drinking? |
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30. Have you ever felt sick, cried, or had a "knot" in your stomach after worrying about a parent's drinking? |
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31. Did you ever take over any chores and duties at home that were usually done by a parent before he or she developed a drinking problem? |
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