SCORE Your TABLE 1 QUESTIONS Score 0 1 2 3 4 How often do you have a drink containing Monthly 2-4 times 2-3 times 4+ Never alcohol? or Less per month per week per week How many units of alcohol do you drink on a 1-2 3-4 5-6 7-9 10+ typical day when you are drinking? How often have you had 6 or more units if female, Daily or Less than or 8 or more if male, on a single occasion in the Never Monthly Weekly almost monthly last year? Daily TOTAL Table 1 0 4 Lower Risk, no further action – Score 5 7 Higher Risk Please Table 2 – – SCORE Your TABLE 2 QUESTIONS Score 0 1 2 3 4 How often during the last year have you found that Daily or Less than you were not able to stop drinking once you had Never Monthly Weekly almost Monthly started? Daily How often during the last year have you failed to do Daily or Less than what was normally expected from you because of your Never Monthly Weekly almost Monthly drinking? Daily How during the last year have you needed an Daily or Less than alcoholic drink in the morning to get yourself going Monthly Weekly almost monthly after a heavy drinking session? Daily How often during the last year have you had a feeling Daily or Less than of guilt or remorse after drinking? Never Monthly Weekly almost monthly Daily How often during the last year have you been unable Daily or Less than to remember what happened the night before because Never Monthly Weekly almost monthly you had been drinking? Daily Have you or somebody else been injured as a result of Yes, but Yes, your drinking? No not in the during the last year last year Has a relative or friend, doctor or other health worker Yes, but Yes, been concerned about your drinking or suggested that No not in the during the you cut down last year last year Table 2 TOTAL Table 1 & 2 Score 8 15 Increasing Risk – Score 16 19 Higher Risk – Score 20+ Possible Dependence I N F O R M A T I O N S H A R I N G
TABLE 1 QUESTIONS SCORE Your Score 0 1 2 3 4 How often do you have a drink containing alcohol? Never Monthly or Less 2-4 times per month 2-3 times per week 4+ per week How many units of alcohol do you drink on a typical day when you are drinking? 1-2 3-4 5-6 7-9 10+ How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? Never Less than monthly Monthly Weekly Daily or almost Daily TOTAL Table 1 0 – 4 Lower Risk, no further action Score 5 – 7 Higher Risk – Please Table 2 TABLE 2 QUESTIONS SCORE Your Score 0 1 2 3 4 How often during the last year 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 How often during the last year have you failed to do what was normally expected from you because of your drinking? Never Less than Monthly Monthly Weekly Daily or almost Daily How during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session? Less than monthly Monthly Weekly Daily or almost Daily How often during the last year have you had a feeling of guilt or remorse after drinking? Never Less than monthly Monthly Weekly Daily or almost Daily How often during the last 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 somebody else been injured as a result of your drinking? No Yes, but not in the last year Yes, during the last year Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down No Yes, but not in the last year Yes, during the last year Table 2 TOTAL Table 1 & 2 Score 8 – 15 Increasing Risk Score 16 – 19 Higher Risk Score 20+ Possible Dependence I N F O R M A T I O N S H A R I N G