NWSPM - The Alcohol Use Disorders Identification Test (AUDIT)

The Alcohol Use Disorders Identification Test (AUDIT)
Name

First NameLast Name
Date

MonthDayYear
AUDIT

Please answer the following questions about your use of alcoholic drinks during this past year?
(1) How often do you have a drink containing alcohol?*

NeverMonthly or less2 to 4 times a MONTH2 to 3 times a WEEK4 or more time a WEEK
(2) How many units of alcohol do you drink on a typical day when you are drinking?*

0 to 2 drinks3 or 4 drinks5 or 6 drinks7 or 8 or 9 drinks10 or more drinks
(3) How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?*

NeverLess than monthlyMonthlyWeeklyDaily or almost daily
(4) How often during the last year have you found that you were not able to stop drinking once you had started?*

NeverLess than monthlyMonthlyWeeklyDaily or almost daily
(5) How often during the last year have you failed to do what was normally expected from you because of drinking?*

NeverLess than monthlyMonthlyWeeklyDaily or almost daily
(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?*

NeverLess than monthlyMonthlyWeeklyDaily or almost daily
(7) How often during the last year have you had a feeling of guilt or remorse after drinking?*

NeverLess than monthlyMonthlyWeeklyDaily or almost daily
(8) How often during the last year have you been unable to remember what happened the night before because you had been drinking?*

NeverLess than monthlyMonthlyWeeklyDaily or almost daily
(9) Have you or someone else been injured as a result of your drinking?*

No, neverYes, but not in the last yearYes, during the last year
(10) Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?*

No, neverYes, but not in the last yearYes, during the last year
TOTAL SCORE INTERPRETATION:

A score of 8 or more is associated with harmful or hazardous drinking.

A score of 13 or more in women, and 15 or more in men, is likely to indicate alcohol dependence.
Score
Should be Empty: