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YES |
NO |
| 1. |
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Do you worry about how much someone else drinks or uses drugs? |
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| 2. |
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Do you have money problems because of someone else's problem use? |
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| 3. |
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Do you tell lies to cover up for someone else's drinking or drug use? |
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| 4. |
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Do you feel that if the addict cared about you, he or she would stop? |
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| 5. |
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Do you blame the behaviour of your loved one on his or her companions? |
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| 6. |
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Are plans frequently upset or cancelled or meals delayed because of the addict? |
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| 7. |
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Do you make threats, such as, "If you don't stop drinking, I'll leave you”? |
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| 8. |
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Do you secretly try to smell the drinker’s breath? |
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| 9. |
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Are you afraid to upset someone for fear it will set off a bout? |
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| 10. |
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Have you been hurt or embarrassed by an addict’s behaviour? |
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| 11. |
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Are holidays and gatherings spoiled because of drinking or drug use? |
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| 12. |
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Have you considered calling the police due to fear of abuse? |
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| 13. |
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Do you search for hidden alcohol or drugs? |
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| 14. |
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Do you ever ride in a car with an impaired driver? |
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| 15. |
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Have you refused social invitations out of fear or anxiety? |
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| 16. |
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Do you feel like a failure because you can’t control the addict’s problem? |
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| 17. |
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Do you think that if the drinker stopped drinking, your other problems would be solved? |
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| 18. |
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Do you ever threaten to hurt yourself to scare the addict? |
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| 19. |
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Do you feel angry, confused, or depressed most of the time? |
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| 20. |
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Do you feel there is no one who understands your problems? |
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