Socrates 7 AS - CASAA

CASAA Research Division*Personal Drinking Questionnaire (SOCRATES 7AS)INSTRUCTIONS: Please read the following statementscarefully. Each one describes a way that you might (ormight not) feel about your drinking. For each statement,circle one number from 1 to 5, to indicate how much youFOR OFFICE USE ONLYStudyIDPointDateRaidSOCOAS-Revised 8/94 2 Pagesagree or disagree with it right now. Please circle one and only one number forevery statement.StronglyDisagreeDisagreeUndecided orUnsureAgreeStronglyAgree1. I really want to make changes inmy drinking.2. Sometimes I wonder if I am analcoholic.3. If I don't change my drinking soon,my problems are going to get worse.4. I have already started making somechanges in my drinking.5. I was drinking too much at onetime, but I've managed to change mydrinking.6. The only reason I'm here is thatsomebody made me come.7. Sometimes I wonder if my drinkingis hurting other people.1 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 58. I am a problem drinker. 1 2 3 4 59. I'm not just thinking aboutchanging my drinking, I'm alreadydoing something about it.10. I have already changed mydrinking, and I am looking for ways tokeep from slipping back to my oldpattern.11. I have serious problems withdrinking.1 2 3 4 51 2 3 4 51 2 3 4 5SOCOAS- Revised 8/94 Page 1 of 2

12. Sometimes I wonder if I am incontrol of my drinking.13. My drinking is causing a lot ofharm.14. I am actively doing things now tocut down or stop drinking.15. I want help to keep from goingback to the drinking problems that Ihad before.16. I know that I have a drinkingproblem.17. There are times when I wonder if Idrink too much.1 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 51 2 3 4 518. I am an alcoholic. 1 2 3 4 519. I am working hard to change mydrinking.20. I have made some changes in mydrinking, and I want some help tokeep from going back to the way Iused to drink.1 2 3 4 51 2 3 4 5SOCOAS- Revised 8/94 Page 2 of 2