How many cigarretes do you smoke every day?

How old were you when you started smoking daily?

How many times have you used drugs in the last 12 months?

How often have you used any of these drugs or intoxicants in the last 12 months?

In the past year have you ever had a feeling of guilt or remorse after drinking?

In the past year have you ever failed to do what was normally expected from you because of drinking?

How often do you have six or more drinks on one occasion?

How many drinks containing alcohol do you have on a typical day when you are drinking?

How often do you drink alcohol?

A wife should not have friends of the opposite sex