Problem drinking? AUDIT Questionnaire

AUDIT

Audit stands for  Alcohol Use Disorder Identification Test. It is a questionnaire designed to evaluate whether or not an individual does indeed have an alcohol problem.

Please use the form below and take note of your score. If your score is 8 or higher then it is strongly recommended you contact us using the Contact section.

AUDIT QUESTIONNAIRE

Keep track of the number of points assigned to each answer and add up the numbers at the end of the questionnaire.

 

1. How often do you have a drink containing alcohol?
0 – Never
1 – Monthly or less
2 – Two/Three times per month
3 – Two/Three times per week
4 – Four or more times per week
2. How many drinks do you have on a typical day when you are drinking?
0 – None
1 – One or Two
2 – Three or Four
3 – Five or Six
4 – Seven/Nine
3. How often do you have 6 or more drinks on one occasion?
0 – Never
1 – Less than monthly
2 – Monthly
3 – Weekly
4 – Daily or almost daily
4. How often during the last year have you found that you were not able to stop drinking once you had started?
0 – Never
1 – Less than monthly
2 – Monthly
3 – Weekly
4 – Daily or almost daily
5. How often during the last year have you failed to do what was normally expected from you because of drinking?
0 – Never
1 – Less than monthly
2 – Monthly
3 – Weekly
4 – Daily or almost daily
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?
0 – Never
1 – Less than monthly
2 – Monthly
3 – Weekly
4 – Daily or almost daily
7. How often during the last year have you had a feeling of guilt or remorse after drinking?
0 – Never
1 – Less than monthly
2 – Monthly
3 – Weekly
4 – Daily or almost daily
8. How often during the last year have you been unable to remember what happened the night before because you have been drinking?
0 – Never
1 – Less than monthly
2 – Monthly
3 – Weekly
4 – Daily or almost daily
9. Have you or someone else been injured as a result of your drinking?
0 – Never
2 – Yes, but not in the last year
4 – Yes, during 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?
0 – Never
2 – Yes, but not in the last year
4 – Yes, during the last year

A total score of 8 or higher is considered positive for a possible alcohol use disorder.

We recommend that you contact us using the Contact section.

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