Am I Chemically Dependent?

20 Questions

  1. Has chemical usage caused you financial difficulties?

  2. Have you lost time from work due to the use of chemicals?

  3. Do you use chemicals to build up your self- confidence?

  4. Have you ever had a complete loss of memory while under the influence of chemicals?

  5. Do you crave chemicals?

  6. Has chemical usage caused unhappiness in your home life?

  7. Have you ever been treated by a physician for chemical use?

  8. Do you ever feel remorseful after using?

  9. Do chemicals make you careless of your family's welfare?

  10. Has chemical usage affected your reputation?

  11. Do you associate with lower companions and an inferior environment when you are using?

  12. Do you get high to escape from your worries or troubles?

  13. Has using put your job, schooling or business in jeopardy?

  14. Do you use chemicals daily?

  15. Do you need to get loaded to have a good time?

  16. Do you use chemicals when you are alone?

  17. Have you ever been in an institution or a hospital due to the use of chemicals?

  18. Are you ashamed of your behavior after using?

  19. Does chemical usage decrease your ambition?

  20. Do you feel bad when you are not using chemicals?

If you answered, "yes" to three or more of these questions, this indicates that you have a problem with chemicals.

Only you can make that statement about yourself

Chemically
Dependent
Anonymous

Chemically Dependent Anonymous
General Service Office
P.O. Box 423
Severna Park, MD, 21146

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