Northwest Resources Drug & Alcohol Outpatient Treatment Center

Northwest Resources
Alcohol and Drug Use Questionnaire

Northwest Resources is located:

22620 7th Avenue South  |  Des Moines, WA 98198  |  Phone: 206-824-9273
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ask yourself

You've arrived here because you think you may have a problem with drugs and alcohol, or you've already been told you do. Ask yourself, truthfully, the questions below (it's optional and confidential). You can also just use our contact form to reach out to us.

 

The staff at Northwest Resources are here to help.
1.
Have you ever felt the need to cut down on your drinking or drugging?
Yes
No
2.
Have you ever felt annoyed by criticism of your drinking or drugging?
Yes
No
3.
Have you ever felt guilty about your drinking or drugging?
Yes
No
4.
Have you ever had a morning eye opener (alcohol or drugs)?
Yes
No
 
or
 
 
Are you often eager to have that evening drink, toke, snort, or line?
Yes
No
 

If you answered yes to one or more of the above questions, you're likely to be experiencing the symptoms of alcohol or drug misuse, and your life is being affected. If you've recieved a DUI charge, you know it has.

 

You can schedule a professional assessment, talk to one of our counselors about your use of alcohol or other drugs, and take that step towards a better life.
First Name:
Email:
Phone Number:
(optional)
How would you like us to help you?