Alcohol Questionnaire
| 1 | How often do you have a drink containing alcohol? | Never
Monthly or less |
| 2 | How many standard drinks of alcohol (alcoholic units) do you have on a typical day when you are drinking? |
1 or 2 |
| 3 | How often do you have 6 or more standard drinks on one occassion? |
Never |
| 4 | How often during the last year have you found that you were not able to stop drinking once you had started? |
Never |
| 5 | How often during the last year have you failed to do what was normally expected of you because of your drinking? |
Never |
| 6 | How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session? |
Never |
| 7 | How often during the last year have you had a feeling of guilt or remorse after drinking? |
Never |
| 8 | How often during the last year have you been unable to remember what happened the night before because you had been drinking? |
Never |
| 9 | Have you or someone else been injured as a result of your drinking? |
No
Yes, not in the last year Yes in the last year |
| 10 | Has a relative, friend, doctor or other health worker been concerned about your drinking or suggested you cut down? |
No Yes, not in the last year Yes in the last year |
| Scoring | The minimum score (for non-drinkers) is 0 The maximum possible score is 40. |
Your Score: |
A score of 8 or more indicates a strong liklihood of hazardous or harmful alcohol consumption. If you scored above 8, you might want to contact the agency for some advice.