1. Do you lose time from work due to addiction?
2. Is addiction making your home life unhappy?
3. Do you have addiction because you are shy with other people?
4. Is addiction affecting your reputation?
5. Have you ever felt remorse because of addiction?
6. Have you gotten into financial difficulties as a result of addiction?
7. Do you turn to lower companions and an inferior environment due to addiction?
8. Does your addiction make you careless of your family's welfare?
9. Has your ambition decreased due to addiction?
10. Do you crave for the addictive behaviour at a definite time daily?
11. Do you have addiction everyday?
12. Does addiction causes difficulty in sleeping?
13. Has your efficiency decreased due to addiction?
14. Is addiction jeopardizing your job or business?
15. Do you use addiction to escape from worries or trouble?
16. Do you engage in addiction alone?
17. Have you ever had a complete loss of memory as a result of addiction?
18. Has your physician / psychiatrist / psychologist ever treated you for addiction?
19. Do you engage in addiction to build up your self-confidence?
20. Have you ever been to a hospital or institution on account of addiction?