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Questions |
Options |
| 1 |
How often do you have a drink that contains alcohol? |
Never |
Monthly or less |
2-4 times per month |
2-3 times per week |
4+ times per week |
| 2 |
How many standard alcoholic drinks do you have on a typical day when you are drinking? |
1-2 |
3-4 |
5-6 |
7-8 |
10+ |
| 3 |
How often do you have 6 or more standard drinks on one occasion? |
Never |
Less than monthly |
Monthly |
Weekly |
Daily or almost daily |
| 4 |
How often in the last year have you found you were not able to stop drinking once you had started? |
Never |
Less than monthly |
Monthly |
Weekly |
Daily or almost daily |
| 5 |
How often in the last year have you failed to do what was expected of you because of drinking? |
Never |
Less than monthly |
Monthly |
Weekly |
Daily or almost daily |
| 6 |
How often in the last year have you needed an alcoholic drink in the morning to get you going? |
Never |
Less than monthly |
Monthly |
Weekly |
Daily or almost daily |
| 7 |
How often in the last year have you had a feeling of guilt or regret after drinking? |
Never |
Less than monthly |
Monthly |
Weekly |
Daily or almost daily |
| 8 |
How often in the last year have you not been able to remember what happened when drinking the night before? |
Never |
Less than monthly |
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/friend/doctor/health worker been concerned about your drinking or advised you to cut down? |
No |
|
Yes but not in the last year |
|
Yes, during the last year |
| |
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Your drinking is sensible.
Your drinking is hazardous.
Your drinking is harmful.
Your drinking is dependent.
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