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Employers:- Alcohol/Drug Problem Questionnaire
 
01. Do you have an Employee whose drinking or drug using seems to be getting out of control?
  YesNo
02. Do you know whether they have tried to stop drinking or using, but have only been able to manage to stop for a day or so at a time?
  YesNo
03. Have you noticed that they look sweaty when they arrive at work?
  YesNo
04. Do they show a strong desire for drink or drugs on a regular basis?
  YesNo
05. If they don’t have a drink or take a drug for 12 to 24 hours, do they tend to look physically unwell?
  YesNo
06. Is their drink or drug-taking causing problems within your company?
  YesNo
07. Have you noticed any pattern of absenteeism that may be a consequence of their alcohol or drug use?
  YesNo
08. Have you noticed any changes in their attitude or behaviour as a result of their alcohol or drug use?
  YesNo
09. Once they start drinking or using drugs, have you noticed that they are not able to stop?
  YesNo
 
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