I sure hope not, since I don't think there is a magic line between 179 and 180. They let me stay out, and on any given day I might be able to pick up that extra point. I drop alcohol from your list, but pick up relationship and physical to replace it.

Just a screening tool, to help you see if you need to talk to someone. If you are diagnosed then visit every once in a while to the test will help you see how you are doing. Even that has to be taken as anything but gospel. From my first run to my second, I went up in score by several points, even though I was doing better and honestly answered the questions both times. It was because I was better able to see what was going on the second time and was recognizing the areas that need work.