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The questions below refer to your use of alcoholic beverages within the past year. Answer the questions as honestly and accurately as possible. Your responses are completely confidential.



1. How often do you have a drink containing alcohol?
Daily     Weekly     Monthly     Other (specify)  

2. How many drinks containing alcohol do you have on a typical day when you are drinking?
1-3     4-6     More than 6     Other (specify)  

3. Thinking about a typical week, on how many days do you have at least one alcoholic drink?
1-2     3-4     4-6     Everyday    

4. How often do you have six or more drinks on one occasion?
Never     Sometimes     Often     All the time    

5. Thinking about the past year, what is the greatest number of drinks you have had on any one occasion?
(Please specify an amount)  

6. How often during the past year have you found that you were not able to stop drinking once you had started?
Never     Sometimes     Often     All the time    

7. How often during the past year have you failed to do what was normally expected of you due to drinking?
Never     Sometimes     Often     All the time    

8. How often during the past year have you needed a drink in the morning to get going?
Never     Sometimes     Often     All the time    

9. How often during the past year have you had a feeling of remorse after drinking?
Never     Sometimes     Often     All the time    

10. How often during the past year have you been unable to remember what happened while you were drinking?
Never     Sometimes     Often     All the time    

11. Have you or someone else been injured due to your drinking?
Yes     No    

12. Has someone close to you or a doctor or other healthcare worker been concerned about your drinking and suggested that you cut down?
Yes     No    



This test is the AUDIT (Alcohol Use Disorders Identification Test). After taking this test, if you think you have a problem with alcohol or know someone who does, please contact our office by clicking on the link below.

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Developed by the World Health Organization.

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