1 |
How often do you have a drink containing alcohol? |
Never |
Monthly or less |
2 to 4 times a month |
2-3 times a week |
4 or more times a week |
2 |
How many drinks containing alcohol do you have on a typical day when you are drinking? |
1 or 2 |
3 or 4 |
5 or 6 |
Weekly |
10 or more |
3 |
How often do you have six or more drinks on one occasion? |
Never |
Less than monthly |
Monthly |
Weekly |
Daily 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? |
Never |
Daily or almost daily |
Monthly |
Weekly |
Daily or almost daily |
5 |
How often during the last year have you failed to do what was normally expected from you because of drinking? |
Never |
Daily or almost daily |
Monthly |
Weekly |
Daily or almost daily |
6 |
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 |
Daily or almost daily |
Monthly |
Weekly |
Daily or almost daily |
7 |
How often during the last year have you had a feeling of guilt or remorse after drinking? |
Never |
Daily or almost daily |
Monthly |
Weekly |
Daily 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? |
Never |
Daily or almost daily |
Monthly |
Weekly |
Daily or almost daily |
9 |
Have you or someone else been injured as a result of your drinking? |
No |
|
Yes, but not in the last year |
|
Yes, 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 |
|
Yes, but not in the last year |
|
Yes, during the last year |