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| 1. | Do you use drugs or alcohol to relieve tension? | |
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| 2. | Do you crave a drink or drug at certain times of the day? | |
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| 3. | Have you ever felt guilty about drinking/drugging or things you've done when drunk or high? | |
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| 4. | Has your ambition decreased since you began using drugs and alcohol? | |
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| 5. | Have you ever tried to cut back? | |
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| 6. | Have you ever done anything when you were drinking or drugging that you don't remember? | |
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| 7. | Have you told people you can quit anytime you want to (but you never want to)? | |
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