This is one unit of alcohol: and each of these is more than one unit of alcohol: Scoring system Audit Questions 0 1 2 3 4 2 - 3 4+ 2 - 4 How often do you have a drink containing Monthly times times Never times per alcohol? or less per per month week 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 Less Daily or female, or 8 or more if male, on a single Never than Monthly Weekly almost occasion in the last year? monthly daily How often during the last year have you found Less Daily or that you were not able to stop drinking once than Monthly Weekly almost you had started? monthly daily How often during the last year have you failed Less Daily 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 Less Daily or needed an alcoholic drink in the morning to get Never than Monthly Weekly almost yourself going after a heavy drinking session? monthly daily Less Daily or How often during the last year have you had a Never than Monthly Weekly almost feeling of guilt or remorse after drinking? monthly daily How often during the last year have you been Less Daily or unable to remember what happened the night Never than Monthly Weekly almost before because you had been drinking? monthly daily Yes, Yes, but Have you or somebody else been injured as a during No not in the result of your drinking? the last last year year Yes, Has a relative or friend, doctor or other health Yes, but during worker been concerned about your drinking or No not in the the last suggested that you cut down? last year year Scoring: 0–7 Lower Risk, 8–15 Increasing Risk, 16–19 Higher Risk, 20+ Possible score: Dependence
This is one unit of alcohol: and each of these is more than one unit of alcohol: Audit Questions Scoring system 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+ times 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 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 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 Scoring: 0–7 Lower Risk, 8–15 Increasing Risk, 16–19 Higher Risk, 20+ Possible Dependence score:
Inspire-Sutton-Referral-Triage-Assessment-Form-July2018.docx