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....

1. Had a strong desire or urge to drink?

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

1. Had a strong desire or urge to drink?

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....

1. Had a strong desire or urge to drink?

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

1. Had a strong desire or urge to drink?