Do you wonder whether your concern for an alcoholic or addict in your life warrants seeking help for yourself? If so, here is your own personal self assessment survey.

Am I a Co-dependent?

1. Ask yourself the following 20 questions and answer them as honestly as you can:

1. Do you worry about how much someone else drinks? Yes No
 
2. Do you have money problems because of someone else´s drinking? Yes No
 
3. Do you tell lies to cover up for someone else´s drinking? Yes No
 
4. Do you feel that if the drinker cared about you, he or she would stop drinking? Yes No
 
5. Do you blame the drinker´s behavior on his or her companions? Yes No
 
6. Are plans frequently upset or canceled or meals delayed because of the drinker? Yes No
 
7. Do you make threats, such as, “If you don´t stop drinking,
I´ll leave you”?		 Yes No
 
8. Do you secretly try to smell the drinker´s breath? Yes No
 
9. Are you afraid to upset someone for fear it will set off a drinking bout? Yes No
 
10. Have you been hurt or embarrassed by a drinker´s behavior? Yes No
 
11. Are holidays and gatherings spoiled because of drinking? Yes No
 
12. Have you considered calling the police for help in fear of abuse? Yes No
 
13. Do you search for hidden alcohol? Yes No
 
14. Do you ever ride in a car with a driver who has been drinking? Yes No
 
15. Have you refused social invitations out of fear or anxiety? Yes No
 
16. Do you feel like a failure because you can´t control the drinking? Yes No
 
17. Do you think your other problems would be solved with the drinker´s sobriety? Yes No
 
18. Do you ever threaten to hurt yourself to scare the drinker? Yes No
 
19. Do you feel angry, confused, or depressed most of the time? Yes No
 
20. Do you feel there is no one who understands your problems? Yes No

 

If you have answered YES to any one of these questions, there is a definite warning that you may be a co-dependent.

If you have answered YES to any two, the chances are that you are a co-dependent.

YES answers to three or more, is definitely consistent with a co-dependent.

 

2. Congratulations on completing the twenty questions.

If you wish for one of our A Home Away counsellors to contact you for a free, personal consultation, please complete your contact information for how you wish to be reached.

NB: Your confidentiality is strictly respected; your information will not be provided to any outside person or agency.

 

Name:
 
Email:
 
Phone Number:
   
Address:
 
City/Town:
 
Province/State:
 
Postal Code/ZIP:

3. You deserve to get the type of help you need.
Are you ready to consider treatment at A Home Away?

Yes

No

What is the best time to call you?

4. What is your preferred method of contact?

Telephone

E-Mail

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