Questionnaire
Did You Grow Up with Alcoholism?

1. Have you ever thought that one of your parents had a drinking problem?
    
2. Have you ever lost sleep because of a parent’s drinking?
    
3. Did you ever encourage one of your parents to quit drinking?
    
4. Did you ever feel alone, scared, nervous, angry, or frustrated because a parent was not able to stop drinking?
    
5. Did you ever argue or fight with a parent when he or she was drinking?
    
6. Did you ever threaten to run away from home because of his or her drinking?
    
7. Has a parent ever yelled at or hit you or other family members when drinking?
    
8. Have you ever heard your parents fight when one of them was drunk?
    
9. Did you ever protect another family member from a parent who was drinking?
    
10. Did you ever feel like hiding or emptying a parent’s bottle of liquor?
     
11. Do many of your thoughts revolve around a problem drinking parent or difficulties that arise because of his or her drinking?
     
12. Did you ever wish that a parent would stop drinking?
     
13. Did you ever feel responsible for and guilty about a parent’s drinking?
     
14. Did you ever fear that your parents would get divorced due to alcohol misuse?
    Have you ever withdrawn from and avoided outside activities and friends because of embarrassment and shame over a parent’s drinking problem?
     
15. Did you ever feel caught in the middle of an argument or fight between a problem drinking parent and your other parent?

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The Children of Alcoholics Test may help you to understand your feelings about growing up with an alcoholic parent. To further understand some of the effects this may have had on you and your relationships go to Adult Children of Alcoholics’ Characteristics.