{
  "assessmentTests": {
    "alcohol_use_screener": {
      "name": "Drinking Habits Check-In",
      "desc": "A 20-question self-reflection across four domains: impaired control, social & role impact, risky use, and tolerance & withdrawal.",
      "recommendation": "Your drinking habits profile",
      "questions": [
        {
          "question": "I end up drinking more, or for longer, than I originally planned to.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've tried to cut back on my drinking and found it harder than I expected.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A significant chunk of my time goes toward obtaining alcohol, drinking, or recovering from its effects.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I get a strong urge or craving to drink that's genuinely hard to ignore.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Once I start drinking, it's difficult to stop before the point I originally intended.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My drinking has caused me to fall behind on responsibilities at work, school, or home.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've kept drinking even though it was clearly causing problems with people close to me.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've given up or cut back on hobbies and activities I used to enjoy because of drinking.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Someone close to me has expressed real concern about how much I drink.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've missed, or been late to, something important because of drinking or its after-effects.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've driven a vehicle, operated machinery, or done something else risky after drinking.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I keep drinking even though I know it's making a physical or emotional problem worse.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've done something while drinking that I regretted, or that I wouldn't normally do sober.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've had a drink in a situation where it clearly wasn't safe to do so.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've kept drinking despite a doctor, or someone else, warning me about the health effects.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I need noticeably more alcohol than I used to in order to feel its effects.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "The same amount of alcohol has noticeably less effect on me than it did when I started drinking regularly.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've felt shaky, sweaty, nauseous, or anxious after cutting back on or stopping drinking.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've had a drink first thing in the day, or soon after waking, to steady my nerves or avoid feeling unwell.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I've noticed trouble sleeping, restlessness, or irritability when I go without alcohol for a while.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "impaired_control": {
          "name": "Impaired Control",
          "desc": "How much your actual drinking, amount, duration, or ability to stop, tends to exceed what you intended going in.",
          "high": "You regularly end up drinking more or longer than planned, and cutting back has been harder than you expected when you've tried.",
          "low": "Your drinking generally stays within what you planned, and stopping when you intend to isn't a notable struggle.",
          "icon": "🎯",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        },
        "social_impairment": {
          "name": "Social & Role Impact",
          "desc": "How much drinking has affected your responsibilities, relationships, or the activities you used to make time for.",
          "high": "Drinking appears to be creating real friction with the people, responsibilities, or activities that matter to you.",
          "low": "Drinking doesn't seem to be interfering with your responsibilities, relationships, or the things you enjoy doing.",
          "icon": "👥",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        },
        "risky_use": {
          "name": "Risky Use",
          "desc": "Whether you've continued drinking, or continued using alcohol in unsafe situations, despite a real known risk.",
          "high": "You've continued drinking in situations, or despite problems, where the risk was clear at the time.",
          "low": "You haven't been drinking in situations that carried a known physical or safety risk.",
          "icon": "⚠️",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        },
        "tolerance_withdrawal": {
          "name": "Tolerance & Withdrawal",
          "desc": "Whether your body has adapted to needing more alcohol for the same effect, or reacts physically when you stop.",
          "high": "Your responses suggest your body may have adapted to regular alcohol use in ways that show up as tolerance or withdrawal symptoms.",
          "low": "You haven't noticed needing more alcohol over time, or physical symptoms when you stop drinking.",
          "icon": "🌀",
          "science": "Hasin, D.S., et al. (2013). DSM-5 Criteria for Substance Use Disorders: Recommendations and Rationale. American Journal of Psychiatry, 170(8), 834-851."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Drinking Concerns",
          "desc": "Your responses don't suggest a pattern of impaired control, social impact, risky use, or tolerance/withdrawal around alcohol. You may drink occasionally or not at all, and it doesn't appear to be shaping your choices, relationships, or health in a noticeable way.",
          "recommendation": "There's nothing here that points to a concern right now. If your drinking patterns or circumstances change, the four domains above are a useful way to check back in with yourself."
        },
        "mild": {
          "name": "Mild Drinking Concerns",
          "desc": "A few patterns are showing up, drinking a bit more than planned, or noticing it affect a plan or a relationship occasionally, but the overall picture is still fairly contained. This is a common and very workable stage to notice things in.",
          "recommendation": "This is a good moment for honest self-monitoring, tracking how much and how often you actually drink versus what you intend. Many people find that setting clear limits ahead of time (before the first drink) makes a real difference at this stage."
        },
        "moderate": {
          "name": "Moderate Drinking Concerns",
          "desc": "Your responses point to a more established pattern, impaired control, real impact on responsibilities or relationships, or early signs of tolerance. This is a recognized pattern worth taking seriously, not a matter of willpower.",
          "recommendation": "Consider talking with a doctor or a licensed counselor who works with alcohol use, they can help you understand your specific pattern and options without judgment. Support communities like Alcoholics Anonymous (AA) or SMART Recovery are free, widely available, and many people find them helpful at this stage too."
        },
        "high": {
          "name": "High Drinking Concerns",
          "desc": "Your responses suggest a substantial pattern across impaired control, social and role impact, risky use, and tolerance or withdrawal. This level of pattern is consistent with what clinicians describe as a significant alcohol use concern, and it deserves real support, not just willpower.",
          "recommendation": "Please reach out to a doctor before making any sudden changes to your drinking. If your body has adapted to regular alcohol use, stopping abruptly can be medically risky (including withdrawal symptoms that sometimes require supervision), so a doctor can help you do this safely. The SAMHSA National Helpline (1-800-662-4357, free, confidential, 24/7) is a good starting point, and Alcoholics Anonymous (AA) or SMART Recovery offer free ongoing support. You deserve real help, and reaching out is a strong first step, not a last resort."
        }
      }
    }
  },
  "testNames": {
    "alcohol-use-screener": "Drinking Habits Check-In"
  }
}