Please circle the answer that is correct for you.
1. How often do you have a drink containing alcohol?
NEVER MONTHLY OR TWO TO FOUR TWO TO THREE FOUR OR MORE
LESS TIMES A MONTH TIMES A WEEK TIMES A WEEK
NOTE: For answering these questions, one “drink” is equal to 10 ounces of beer, or 4 ounces of
wine, or 1 ounce of liquor
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
1 OR 2 2 OR 4 5 OR 6 7 TO 9 10 OR MORE
3. How often do you have six or more drinks on one occasion?
NEVER LESS THAN MONTHLY WEEKLY DAILY OR ALMOST DAILY
MONTHLY
4. How often during the last year have you found that you were not able to stop drinking once
you had started?
NEVER LESS THAN MONTHLY WEEKLY DAILY OR ALMOST DAILY
MONTHLY
5. How often during the last year have you failed to do what was normally expected from you
because of drinking?
NEVER LESS THAN MONTHLY WEEKLY DAILY OR ALMOST DAILY
MONTHLY
6. How often during the last year have you needed a first drink in the morning to get yourself
going after a heavy drinking session?
NEVER LESS THAN MONTHLY WEEKLY DAILY OR ALMOST DAILY
MONTHLY
7. How often during the last year have you had a feeling of guilt or remorse after drinking?
NEVER LESS THAN MONTHLY WEEKLY DAILY OR ALMOST DAILY
MONTHLY
8. How often during the last year have you been unable to remember what happened the night
before because you had been drinking?
NEVER LESS THAN MONTHLY WEEKLY DAILY OR ALMOST DAILY
MONTHLY
9. Have you or someone else been injured as a result of your drinking?
NEVER YES, BUT NOT IN YES, DURING
THE LAST YEAR THE LAST YEAR
10. Has a relative or friend, or a doctor or other health worker been concerned about your
drinking or suggested you cut down?
NEVER YES, BUT NOT IN YES, DURING
THE LAST YEAR THE LAST YEAR
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Scoring Rules for the AUDIT Screening Questionnaire
Item 1
0 = Never
1 = Monthly or less
2 = Two to four times a month
3 = Two to three times a week
4 = Four or more times a week
Item 2
0 = 1-2 drinks
1 = 3-4 drinks
2 = 5-6 drinks
3 = two to three times a week
4 = four or more times a week
Item 3-8
0 = Never
1 = Less than monthly
2 = Monthly
3 = Weekly
4 = Daily or almost daily
Item 9-10
0 = No
1 = Yes, but not in the last year
2 = Yes, during the last year
Maximum possible score = 40
A score of 8 or more indicates a strong likelihood of hazardous or harmful alcohol
consumption, and warrants more careful assessment