AUDIT (Alcohol Use Disorders Identification Test)

Please enter your email address or phone number in the form below so the results can be returned to you (Usually in under 24 hours, we hope to be able to return email results immediately).  The survey below has drop down boxes numbered for the corresponding questions.  Click the arrow on the drop down box of each question and select either "Yes" or "No" as your answer.  Please make sure your answer is displayed after you select it.  Answer all 10 questions and press the "Submit Query" button.   [Only your answers are forwarded.  The answers are forwarded as numerical values and are meaningless without the questions or answer key]  Please remember that the results of this questionaire are indicative and not diagnostic.

Please enter email address or phone number and any special instructions:

 

 

1.  How often do you have a drink containing alcohol?

2.  How many drinks of alcohol do you drink on a typical day when you are drinking?

3.  How often do you have six or more drinks of alcohol on one occasion?

4.  How often during the last year have you found that you were not able to stop drinking once you started?

5.  How often during the last year have you failed to do what was nomally expected from you because of drinking?

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.

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

8.  How often during the last year have you been unable to remember what happened the night before because you had been drinking.

9.  Have you or someone else been injured as a result of you drinking?

10. Has a relative or friend or doctor or another health worker been concerned about your drinking or suggested you cut down.