ASSESSMENTS

Ready to Take an Assessment?

Yourself

Worried You may have a drinking or drug problem?
Select an assessment below.

Alcohol Use Assessment (SF) - (505) 835-5711

Thank you for connecting with us. We will respond to you shortly.

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*All questions are REQUIRED

*1. On average, I drink ______________.

Rarely

2-4 Times a month

2-3 Times a week

More than 3 times per week

*2. When I drink, I generally consume _________ drinks.
(A drink is: one 12 oz. beer, one 5 oz. glass of wine, or one 1.5 oz. shot of hard alcohol)

1-2

3-4

5-6

7-9

10+

*3. I generally “binge” drink.
(In about two hours, women consume 4+ drinks; men consume 5+)

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*4. Once I start drinking, I find it difficult to stop when I want to.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*5. I take additional drugs (painkillers, narcotics, speed, etc.) when I’m drinking.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

6. I am ready to change.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

Release of liability:

“I understand that this assessment is for informational purposes only. I further understand that the only way to get an accurate diagnosis or assessment is to be examined by a licensed medical professional."

Not submitting? You missed one!

You have scored {math_result} out of a possible 100

Take the next step, call us today 505-217-1717
OR

Enter ONLY your name and preferred contact information and a Focused Recovery intake specialist will contact you. We will not share this information with any 3rd party. If you are concerned about someone else, we can help you talk to a friend or family member, but DO NOT enter their information here, only your own.

*Name

*Phone

Text me instead

Tell us a little more

Drug Use Assessment (SF) - (505) 835-5711

Thank you for connecting with us. We will respond to you shortly.

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*All questions are REQUIRED

*1. On average, I use drugs ______________.

Rarely

2-4 Times a month

2-3 Times a week

More than 3 times per week

*2. When I use drugs, I usually use ___________________.

A tiny amount

A small-ish amount

A medium amount

A large amount

An excessive amount

*3. I use combinations of drugs, or I drink when I use.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*4. Once I start using drugs, I cannot stop when I want to.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*5. I black out when I use drugs and/or alcohol, and can’t remember everything that happened.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

6. I am ready to change.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

Release of liability:

Not submitting? You missed one!

You have scored {math_result} out of a possible 100

Take the next step, call us today 505-217-1717
OR

*Name

*Phone

Text me instead

Tell us a little more

Someone Else

Worried a Loved One may have a drinking or drug problem?
Select an assessment below.

Family Alcohol Use Assessment (SF) - (505) 835-5711

Thank you for connecting with us. We will respond to you shortly.

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Anwser these questions because you are concerned about a family member or a friend. Do not enter the friends or familiy members name, enter your own and a specialist will contact you to discuss how to help the person you are concerned about.

*All questions are REQUIRED

*1. On average, they drink ______________.

Rarely

2-4 Times a month

2-3 Times a week

More than 3 times per week

*2. When they drink, they generally consume _________ drinks.
(A drink is: one 12 oz. beer, one 5 oz. glass of wine, or one 1.5 oz. shot of hard alcohol)

1-2

3-4

5-6

7-9

10+

*3. They generally “binge” drink within a 2 hour period.
(Women consume 4+ drinks or men consume 5+)

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*4. Once they start drinking, they find it difficult to stop when they want to.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*5. They use additional drugs (painkillers, narcotics, etc.) when drinking.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

6. I believe theyre ready to change.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

Release of liability:

Not submitting? You missed one!

You have scored {math_result} out of a possible 100

Take the next step, call us today 505-217-1717
OR

*Name

*Phone

Text me instead

Tell us a little more

Family Drug Use Assessment (SF) - (505) 835-5711

Thank you for connecting with us. We will respond to you shortly.

http://sandbox.focusedrecoverynm.com/wp-content/plugins/nex-forms-express-wp-form-builder

false

http://sandbox.focusedrecoverynm.com/wp-admin/admin-ajax.php

http://sandbox.focusedrecoverynm.com/assessments

yes

Anwser these questions because you are concerned about a family member or a friend. Do not enter the friends or familiy members name, enter your own and a specialist will contact you to discuss how to help the person you are concerned about.

*All questions are REQUIRED

*1. On average, they use drugs ______________.

Rarely

2-4 Times a month

2-3 Times a week

More than 3 times per week

*2. When they do use drugs, they usually use ___________________.

A tiny amount

A small-ish amount

A medium amount

A large amount

An excessive amount

*3. They mix combinations of drugs, or drugs with alcohol.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*4. Once they start using drugs, they cannot stop when they want to.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

*5. I black out when I use drugs and/or alcohol, and can’t remember everything that happened.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

6. I believe they are ready to change.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

Release of liability:

Not submitting? You missed one!

You have scored {math_result} out of a possible 100

Take the next step, call us today 505-217-1717
OR

*Name

*Phone

Text me instead

Tell us a little more

Learn More

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Our Services

(505) 835-5711
info@focusedrecoverynm.com