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. Author manuscript; available in PMC: 2013 Oct 21.
Published in final edited form as: J Psychoactive Drugs. 2012 Sep-Oct;44(4):307–317. doi: 10.1080/02791072.2012.720169

TABLE 1.

Screening Tools

Tool (Positive) Questions
CAGE
(two or more “yes” answers)
  • Have you ever felt you should cut down on your drinking?

  • Have people annoyed you by criticising your drinking?

  • Have you ever felt bad or guilty about your drinking?

  • Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?

CRAFFT
(two or more “yes” answers)
  • Have you ever ridden in a car driven by someone (including yourself) who was “high” or had been using alcohol or drugs?

  • Do you ever use alcohol or drugs to relax, feel better about yourself or fit in?

  • Do you ever use alcohol or drugs while you are by yourself, or alone?

  • Do you ever forget things you did while using alcohol or drugs?

  • Do your family or friends ever tell you that you should cut down on your drinking or drug use?

  • Have you ever gotten into trouble while you were using alcohol or drugs?

AUDIT
(all questions ranked on a severity scale from 0 to 4—total score of ≥ 8 indicates a positive screen)
  • How often do you have a drink containing alcohol?

  • How many standard drinks do you have on a typical day when you are drinking?

  • How often do you have six or more standard drinks on one occasion ?

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

  • How often during the last year have you failed to do what was normally expected of you because of drinking?

  • How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?

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

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

  • Have you or someone else been injured because of your drinking?

  • Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?

ASSIST
(administration and scoring is more complicated)
  • Which substances have ever been used in the patient’s lifetime?

  • What is the frequency of substance use in the past three months?

  • What is the frequency of experiencing strong desire or urge to use each substance in the last three months?

  • What is the frequency of health, social, legal or financial problems related to substance use in the last three months?

  • What is the frequency with which use of each substance has interfered with role responsibilities in the past three months?

  • Has anyone ever expressed concern about the patient’s use of each substance? How recently has that occurred?

  • Has the patient ever tried and failed to cut down or give up their use of each substance? How recently has that occurred?

  • Has the patient ever injected any drug?

Maximum Drinks Screener
(≥ 4 drinks)
  • During the last 12 months, what was the LARGEST number of drinks that you drank in a single day?

Frequency of 5+/4+ Drinking Screener
(≥ once per year)
  • During the last 12 months, about how often did you drink FIVE OR MORE drinks in a single day? (for men)

  • During the last 12 months, about how often did you drink FOUR OR MORE drinks in a single day? (for women)

Single-Question
Screening Test for Drug Use in Primary Care
(any use)
  • How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?