Drinking Check | Workit Health® - Workit Health

Should you change your relationship with drinking?

Take the quiz and we'll email your results.

Questions

1. What do you hope to achieve (Part 1)?* This field is required.

   • Spend less money on alcohol
   • Avoid social consequences
   • Improve work performance
   • Be more reliable
   • Feel more in control of my life
   • None of the above

2. What do you hope to achieve (Part 2)?* This field is required.

   • Sleep better
   • Stop blacking out
   • Reduce hangovers
   • Feel more physically fit
   • Lose weight
   • Address health concerns
   • None of the above

3. What's your goal?* This field is required.

   • Stop drinking completely (abstinence)
   • Have control over how much I drink
   • Cut back on my heavy drinking days
   • Increase the number of days I don't drink at all

4. Have you tried to reach this goal in the past?* This field is required.

   • YES
   • NO

5. What have you tried? Choose all that apply.

   • I tried on my own
   • Support groups (AA)
   • Counselor / Coach
   • Intensive outpatient program
   • Detox
   • Inpatient treatment/rehab
   • Telehealth program
   • Other

6. Did you know there are FDA-approved medications to treat alcohol use disorder?

   • YES
   • NO

7. Have you tried medications to help quit/reduce drinking?

   • Naltrexone (ReVia, Depade, Vivitrol)
   • Acamprosate (Campral)
   • Disulfiram (Antabuse)
   • None of the above

8. Are you able to stop drinking when you want to?* This field is required.

   • YES
   • NO

9. Does your drinking cause problems in your relationships?* This field is required.

   • YES
   • NO

10. Do you ever feel guilty or shameful about your drinking?* This field is required.

    • YES
    • NO

11. Do other people in your life think you have a problem with alcohol?* This field is required.

    • YES
    • NO

12. Where are you located?* This field is required.

    • Florida
    • Michigan
    • New Jersey
    • Ohio
    • Texas