1. When your husband drinks, does he ever drink more than originally intended or stay out longer than he planned?
2. How many days per week would you say your husband drinks?
3. Does alcohol ever cause issues in your relationship?
4. Has alcohol ever caused your husband to become violent or aggressive with you or others?
5. Has your husband stopped doing things he once enjoyed in order to drink?
6. Has your husband frequently experienced being sick from drinking too much either the night of drinking or the next day?
7. Does your husband mostly drink alone or socially?
8. Has your husband’s tolerance for alcohol significantly increased?
9. Has your husband continued to drink, despite experiencing negative consequences of his drinking (i.e., relationship issues with friends/family/spouse, legal issues, issues at work, etc.)?
10. Has your husband ever tried to stop drinking and couldn’t do it?
11. How does your husband react if he cannot drink when he wants?
12. Does your husband ever lie about how much he has drunk?
13. How often does your husband miss work due to drinking?
14. Does your husband drink in the morning or at unusual times?
15. Have you ever felt afraid of your husband when he is drinking?
