Enabler Screening Form
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indicates required fields
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Do you do whatever you can to avoid conflict?:
Yes
No
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Avoid potential problems by trying to keep peace?:
Yes
No
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In denial about your loved one being addicted?:
Yes
No
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Think his or her drug/alcohol use is just a phase?:
Yes
No
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Have a hard time expressing your feelings?:
Yes
No
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Do you keep all your emotions inside?:
Yes
No
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Do you minimize the situation?:
Yes
No
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Do you think the problem will get better later?:
Yes
No
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Lecture/blame/criticize the dependent person?:
Yes
No
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Take over responsibilities of the addicted person?:
Yes
No
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Cover for and pick up his or her slack?:
Yes
No
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Do you repeatedly come to the rescue?:
Yes
No
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Bail him or her from jail/money prob/tight spots?:
Yes
No
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Try to protect your addicted loved one from pain?:
Yes
No
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Do you treat him or her like a child?:
Yes
No
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Feel superior when you care for him/her?:
Yes
No
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Financially support him or her (adult)?:
Yes
No
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Do you try to control the dependent person?:
Yes
No
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Do you often think, this too shall pass?:
Yes
No
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Believe that in waiting God will take care of it?:
Yes
No
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Give him/her one more chance & another & another?:
Yes
No
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Do you join his/her dangerous behavior?:
Yes
No
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Do you ignore his/her problem altogether?:
Yes
No
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How many "Yes" answers did you submit?:
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How many "No" answers did you submit?:
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Name:
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E-mail:
Address:
Phone:
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Any of the above
Do not contact me - Pray
After filling the details click on the SUBMIT button.
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