INSTRUCTIONS- Please circle "Yes" or "No" if any of these things have or have not ever happened to you IN YOUR ENTIRE LIFE. If you need any help ask me for assistance.

In your entire life have you ever....

12. Felt powerless over you drinking?

Column 2: In you Entire Life have you ever.....

12. Felt powerless over you drinking?

INSTRUCTIONS- Please circle "Yes" or "No" if any of these things have or have not ever happened to you IN YOUR ENTIRE LIFE. If you need any help ask me for assistance.

In your entire life have you ever....

12. Felt powerless over you drinking?

Column 2: In your Entire Life have you ever.....

12. Felt powerless over you drinking?