Alcohol Audit

Please answer the following questions about your alcohol consumption:

How often do you have a drink containing alcohol?

Never
Monthly or less
2-4 times per month
2-3 times per week
4 or more times per week

How many standard drinks do you have on a typical day when you are drinking?

1 or 2
3 or 4
5 or 6
7 to 9
10 or more

How often do you have six or more standard drinks on one occasion?

Never
Less than monthly
Monthly
Weekly
Daily or almost daily

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
Monthly
Weekly
Daily or almost daily

How often during the last 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

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
Monthly
Weekly
Daily or almost daily

How often during the last year have you had a feeling of guilt or remorse after drinking?

Never
Less than monthly
Monthly
Weekly
Daily or almost daily

How often in the last 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

Have you or someone else been injured because of your drinking?

No
Yes, but not in the last year
Yes, during the last year

Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?

No
Yes, but not in the last year
Yes, during the last year