AA and 12-Step Alternative Addiction Information - http://www.addictioninfo.org
Alcohol: Processes of Change
http://www.addictioninfo.org/articles/342/1/Alcohol-Processes-of-Change/Page1.html
Cancer Prevention Research Center
The primary mission of CPRC - the Cancer Prevention Research Center - is to enhance the quality and quantity of life through prevention of cancer, other chronic diseases and premature death. 
By Cancer Prevention Research Center
Published on 12/29/2005
 
Each statement describes a situation or thought that a person might try to help them not use alcohol.

Alcohol: Processes of Change

This questionnaire is designed to give us a better understanding of what strategies you are using in your treatment.

Each statement describes a situation or thought that a person might try to help them not use alcohol. Please indicate how often you might make use of a particular situation or thought to help you at the present time.

There are FIVE possible responses to each of the items in the questionnaire:
1 = NEVER
2 = SELDOM
3 = OCCASIONALLY
4 = FREQUENTLY
5 = REPEATEDLY

1.  I keep things around my home or work that remind me not to drink.  

 
2.  I engage in some physical activity when I get the urge to drink.   

3.  I do something nice for myself for making efforts to change.    

4.  I can talk with at least one special person about my drinking experiences.  

5.  I get upset when I think about illnesses caused by drinking.   

6.  I tell myself that I can choose to change or not to change.  

7.  I take some type of medication for my drinking problem.   

8.  I change personal relationships which contribute to my drinking.   

9.  I see signs in some public places trying to help people not to drink.   

10.  I stop to think about how my drinking is hurting people around me.  

11.  I consider that feeling good about myself includes changing my drinking behavior.  

12.  I think about information from television and radio on how to quit drinking.  

13.  Someone in my life helps me to face my drinking problem.   

14.  I remove things from my home or work that remind me of drinking.   

15.  I calm myself when I get the urge to drink.   

16.  I reward myself when I don't give in to my urge to drink.   

17.  I have someone to talk with who understands my problems with drinking.   

18.  Warnings about the health hazards of drinking have an emotional effect on me.   

19.  I use will power to keep from drinking.   

20.  I take some type of drugs to help me not drink.   

21.  I avoid people who encourage drinking.  

22.  I notice that people with alcohol problems are making known their desire not to be pressed to drink.   

23.  I am considering the idea that people around me would be better off without my problem drinking.   

24.  I get upset with myself when I think about my problem drinking.   

25.  I read newspaper stories that may help me quit drinking.   

26.  Someone in my life lets me know about how my drinking is affecting me personally.   

27.  I avoid situations that encourage me to drink.   

28.  I try to think about other things when I begin to think about drinking.   

29.  Others make life difficult for me when I drink.   

30.  I have someone who listens when I want to talk about my drinking.    

31.  Stories about alcohol and its effects upset me.  

32.  I make myself aware that I can choose to overcome my drinking if I want to.  

33.  I use tranquilizers to help me keep from drinking.  

34.  I avoid people who are heavy drinkers.  

35.  I find society changing in ways that make it easier for me to overcome my drinking problems.  

36.  I have strong feelings about how much my drinking has hurt the people I care about.  

37.  I become disappointed with myself when I depend on alcohol.  

38.  I look for information related to problem drinking.  

39.  I have someone who tries to share their personal experiences of alcohol with me.  

40.  I use reminders to help me not to drink.  

41.  I do something else instead of drinking when I nedd to deal with tension.  

42.  I don't let myself have fun when I drink.  

43.  I have someone whom I can count on to help me when I'm having problems with drinking.  

44.  I read newspaper stories that can affect me emotionally about my drinking.  

45.  I tell myself that if I try hard enough I can keep from drinking.  

46.  I take antabuse to help me not drink.  

47.  I leave places where people are drinking.  

48.  I seek out social situations where people respect the rights of others to not drink.  

49.  I stop and think that my drinking is causing problems for other people.  

50.  I feel more competent when I decide not to drink.  

51.  I seek out groups of people who can increase my awareness about probles of drinking.  

52.  I have someoine who helps me "see through" my excuses for drinking.  

53.  I stay away from places generally associated with my drinking.  

54.  I find that doing things is a good substitute for drinking.  

55.  I spend time with people who reward me for not drinking.  

56.  Someone in my life tries to make me feel good when I don't drink.  

57.  I attend meetings that help me express how emotionally destructive drinking has been in my life.  

58.  I make commitments to myself not to drink.  

59.  I change my diet to help me overcome drinking.  

60.  I go places where drinking is not generally accepted.  

61.  I see advertisements on television about how society is trying to help people not drink.  

62.  I stop and think that drinking and driving causes many problems for other people.  

63.  I think about the type of person I will be if I am in control of my drinking.  

64.  I think about information that people have personally given me on the benfits of quitting drinking.  

65.  My physical reactions to alcohol help me to realize that alcohol is a problem for me.