Alpine educational checklist • Adults 18+ • About 3 minutes
Notice how alcohol or drugs may be affecting your life. You can ask for help before things get worse.
This is a self-reflection, not a validated screening test. It has no diagnostic score and cannot decide which treatment you need.
Think about the past 3 months. Check any concern that fits. You can leave items blank or stop at any time. More checked boxes do not equal a diagnosis or a higher level of care.
No name, email, or phone number is needed. This check-in does not send your choices to admissions or save them in browser storage. General website analytics may still operate. Use a private device when possible. Printing may leave a copy on your device or printer. You choose whether to contact Alpine.
Select the items you want help with. Then choose “Show my next steps.” If you prefer, read the guidance below without making any selections.
You can still read each item and the next steps below. Interactive results need JavaScript.
One concern is enough to start a conversation. This checklist cannot tell you whether you have a substance use disorder.
One next step: Write down what you use, how often, and when you last used. Bring that information to a qualified care provider.
This result is not a safety clearance or diagnosis. Ask for help whenever you are worried.
One concern is enough to start a conversation. This checklist cannot tell you whether you have a substance use disorder.
Tell a care provider what you planned to use and what happened instead.
Describe what you tried. Ask about support rather than facing it alone.
Choose one real example to share with a care provider.
Look at what use has pushed out of your daily life.
Ask for an assessment of both substance use and your health.
Talk with a medical professional before making a change. This tool cannot assess withdrawal safety.
Write down what you use, how often, and when you last used. Bring that information to a qualified care provider.
That does not rule out a concern. You may still ask a qualified professional about anything that worries you.
This check-in does not submit your choices to Alpine. It does not alert a clinician. If you want help, contact a provider yourself.
No. A care provider needs to consider your health, safety, daily life, support, and preferences before recommending treatment.
Alpine Recovery Lodge serves adults in Alpine, Utah. You can ask about care without committing to admission. A clinical assessment helps determine which services fit your needs.
Prepared October 19, 2026. Educational information, not personal medical advice. No diagnosis, treatment placement, or promise of recovery is made by this tool.
CONTINUE WITH A CLEAR NEXT STEP
Explore information to discuss with a qualified care professional; a check-in is not a diagnosis.
