Alcohol Use Check

This is a screening tool designed to help identify problems with alcohol use that you might be experiencing. It does not consider all possible problems associated with alcohol use. This tool is not designed to provide a diagnosis. Only a professional can make a diagnosis.

The effects of alcohol vary according to many factors including age, sex and ethnicity. The feedback results provided use an adjusted question on number of drinks per day appropriate to females and adolescents.

This 10-question questionnaire will check for

hazardous drinking patterns,
symptoms of dependence on alcohol, and
harm that may have happened due to alcohol use

After you take the questionnaire, you'll get an immediate response telling you where you stand.

We will not share your answers or any information about you with anyone. Please see our privacy policy for more information.

When you are completing the questionnaire, keep in mind what a "drink" is - see chart below.

Beer

5% Alcohol
12oz/341ml

Wine

12% Alcohol
5oz/142ml

Fortified Wine

16-18% Alcohol
3oz/85ml

Shot of Liquor

40% Alcohol
1.5oz/43ml

Gender

Male

Female

Age

How many drinks containing alcohol do you have on a typical day when you are drinking? *

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

	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 do you have four or more 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 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 during the last year have you been unable to remember what happened the night before because of your drinking?	Never	Less than monthly	Monthly	Weekly	Daily or almost daily

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

Babor, TF,, Higgins-Biddle J, Saunders J, Monteiro M (2001). The Alcohol Use Disorders Identification Test: Guidelines for use in primary care. Second Edition. (Geneva, World health organization.)