Remaining AUDIT questions Scoring system Your Questions 0 1 2 3 4 Daily How often during the last year have you Less or found that you were not able to stop drinking than Monthly Weekly almost monthly once you had started? daily Daily How often during the last year have you failed Less or to do what was normally expected from you Never than Monthly Weekly almost because of your drinking? monthly daily How often during the last year have you Daily Less needed an alcoholic drink in the morning to or Never than Monthly Weekly get yourself going after a heavy drinking almost monthly daily session? Less How often during the last year have you had a or Never than Monthly Weekly feeling of guilt or remorse after drinking? almost monthly daily Daily How during the last year have you been Less or unable to remember what happened the night than Monthly Weekly almost monthly before because you had been drinking? daily Yes, Yes, but not during Have you or somebody else been injured as a No in the the result of your drinking? last last year year Yes, Yes, Has a relative or friend, doctor or other health but not during worker been concerned about your drinking or No in the the suggested that you cut down? last last year year Scoring: 0 – 7 Lower risk, 8 – 15 Increasing risk, 16 19 Higher risk, 20+ Possible dependence – TOTAL Score equals AUDIT C Score (above) + Score of remaining questions
Remaining AUDIT questions Questions Scoring system Your 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? 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 often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session? Never 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 or almost daily How during the last year have you been unable to remember what happened the night before because you had been drinking? 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 Scoring: 0 – 7 Lower risk, 8 – 15 Increasing risk, 16 – 19 Higher risk, 20+ Possible dependence TOTAL Score equals AUDIT C Score (above) + Score of remaining questions
Patient-Registration-Form-Adult-with-Audit-C-Form.docx