Is My Drinking Affecting My Children? Select the best answer for each question. How often do you drink alcohol in front of your children? Never Rarely Occasionally Most days Every day All the time Have you ever been violent with your child while intoxicated? No Yes Have your friends/family members made comments about drinking in front of your children? No Yes Have you ever yelled at your child while intoxicated? No Yes I yell a lot, regardless Have you ever forgotten to put your child to bed because you were intoxicated? No Yes Do you avoid having your child’s school friends at your house because of your drinking? No Yes How many times have you been intoxicated in front of your child? Never Once Less than a dozen Often Too often to count Does your drinking cause you to wake up later than your child? No Once or twice Yes Calculate