1. How often do you think about drinking?

A. Rarely or never
B. Sometimes, usually in social situations
C. Often—it’s on my mind a lot

2. How do you feel the morning after drinking?

A. Totally fine and rested
B. Sometimes off or regretful
C. Anxious, tired, or disappointed

3. Have you ever tried to cut back but found it hard?

A. No, I drink in moderation easily
B. Yes, once or twice
C. Yes, multiple times

4. How do you feel when you think about not drinking for 30 days?

A. No problem—I’ve done it
B. A little nervous but curious
C. Anxious, resistant, or doubtful

5. Do you use alcohol to cope with stress, boredom, or overwhelm?

A. Rarely, I have other tools
B. Sometimes—I notice a pattern
C. Often—it feels like a crutch

6. How do you feel about your current drinking habits?

A. Content and aligned with my values
B. Unsure—sometimes I question it
C. Misaligned—I wish I drank less or not at all

7. Has alcohol ever interfered with your health, relationships, or goals?

A. Not at all
B. A few times, mildly
C. Yes—more than I’d like to admit