How often do you have a drink containing alcohol?□ Never □ Monthly or less □ 2–4 times a month □ 2–3 times a week □ 4 or more times a week

How many standard drinks containing alcohol do you have on a typical day when drinking? □ 1 or 2 □ 3 or 4 □ 5 or 6 □ 7 to 9 □ 10 or more

How often do you have six or more drinks on one occasion?□ Never □ Less than monthly □ Monthly □ Weekly □ Daily or almost daily

During the past year, how often have you found that you were not able to stop drinking once you had started?□ Never □ Less than monthly □ Monthly □ Weekly □ Daily or almost daily

During the past year, how often have you failed to do what was normally expected of you because of drinking?□ Never □ Less than monthly □ Monthly □ Weekly □ Daily or almost daily

During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?□ Never □ Less than monthly □ Monthly □ Weekly □ Daily or almost daily

During the past year, how often have you had a feeling of guilt or remorse after drinking?□ Never □ Less than monthly □ Monthly □ Weekly □ Daily or almost daily

During the past year, have you been unable to remember what happened the night before because you had been drinking?□ Never □ Less than monthly □ Monthly □ Weekly □ Daily or almost daily

Have you or someone else been injured as a result of your drinking?□ No □ Yes, but not in the past year □ Yes, during the past year

Has a relative or friend, doctor, or other health worker been concerned about yourdrinking or suggested you cut down?□ No □ Yes, but not in the past year □ Yes, during the past year