Am I an Alcoholic? - questionnaire.

Ask yourself these questions

Remember - Honesty arrests Denial

Alcohol Use AUDIT

1. How often do you have a drink containing alcohol?	Never	Monthly or less	2-4 times a month	2-3 times a week	4 or more times a week
2. How many drinks containing alcohol do you have on a typical day when you are drinking?	1 or 2	3 or 4	5 or 6	7-9	10 or more
3. How often do you have 6 or more drinks on 1 occasion?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily
4. How often during the past year have you found that you were not able to stop drinking once you had started?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily
5. How often during the past year have you failed to do what was normally expected of you because of drinking?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily
6. How often during the past year have you needed a first drink in the morning to get yourself going after a heavy drinking session?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily
7. How often during the past year have you had a feeling of guilt or remorse after drinking?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily
8. How often during the past year have you been unable to remember what happened the night before because you had been drinking?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily
9. Have you or has someone else been injured as a result of your drinking?	No		Yes, but not in the past year		Yes, during the past year
10. Has a relative, friend, or a doctor or other health care worker been concerned about your drinking or suggested you cut down?	No		Yes, but not in the past year		Yes, during the past year
Total scores

The AUDIT – Alcohol Use Disorders Identification Test.

The AUDIT was developed under the auspices of the World Health Organization and has become the main instrument used to identify ‘at-risk’, problem, and alcoholic drinkers. It has high specificity and sensitivity across a wide cultural and social spectrum.

It has a simple scoring scale and can be completed by the patient/client.

Scoring

• Questions 1 to 8 scores are from left to right – 0, 1, 2, 3, 4.
• Questions 9 and 10 scores from left to right – 0, 2, 4. Range 0 to 40.

1. Total scores of 8 or more are recommended as indicators of hazardous and harmful alcohol use, as well as possible alcohol dependence.
2. People with scores of 15 or more may be considered prime candidates for a diagnosis of alcohol dependence.

More detailed interpretation of a patient’s total score may be obtained by determining on which questions points were scored.

• Questions 2 or 3 - a score of 1 or more indicates consumption at a hazardous level.
• Question 4 to 6 - Points scored above 0 (especially weekly or daily symptoms) imply the presence or beginning of alcohol dependence.
• Questions 7 to 10 - Any points scored indicate that alcohol-related harm is already being experienced.

The final two questions should also be reviewed to determine whether patients give evidence of a past problem (i.e., yes, but not in the past year). Even in the absence of current hazardous drinking, positive responses on these items should be used to discuss the need for vigilance by the patient.

From ‘How to Help an Alcoholic’ at www.BriefTSF.com and http://alcoholselfhelpnews.wordpress.com/

Download a PDF copy of this questionnaire.

Attached Files:

• alcohol-use-audit-32.pdf (33 KB)