1. How often do you have a drink containing alcohol? |
1 point |
a. Never (0) |
Age (per decade >40 years) |
b. Monthly or less (1) |
Myocardial infarction |
c. 2‐4 times a month (2) |
Congestive heart failure |
d. 2‐3 times a week (3) |
Peripheral vascular disease |
e. 4 or more times a week (4) |
Cerebrovascular accident or |
2. How many standard drinks containing alcohol do you have on a typical day? |
transient ischemic attack |
a. 1 or 2 (0) |
Dementia |
b. 3 or 4 (1) |
Chronic obstructive pulmonary disease |
c. 5 or 6 (2) |
Connective tissue disease |
d. 7 to 9 (3) |
Peptic ulcer disease |
e. 10 or more (4) |
Mild liver disease |
3. How often do you have six of more drinks on one occasion? |
Diabetes mellitus |
a. Never (0) |
2 points |
b. Less than monthly (1) |
Hemiplegia |
c. Monthly (2) |
Moderate to severe chronic kidney disease |
d. Weekly (3) |
Solid tumor without metastases |
e. Daily or almost daily (4) |
Leukemia |
|
Lymphoma |
|
3 points |
|
Moderate or severe liver disease |
|
6 points |
|
Solid tumor with metastases |
|
AIDS |