Ottawa-Carleton, ON

Screening Tool: Alcohol Use Disorders (in Adults)

This survey was created to ask about alcohol use, because alcohol use can affect your health and can interfere with certain medications and treatments. 

 

The questionnaire used here is the Alcohol Use Disorders Identification Test (AUDIT). 

1. How often do you have a drink containing alcohol?
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
3. How often do you have six or more drinks on one occasion?
4. How often during the last year have you found that you were not able to stop drinking once you had started?
5. How often during the last year have you failed to do what was normally expected of you because of drinking?
6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
7. Have often during the last year have you had a feeling of guilt or remorse after drinking?
8. How often during the last year have you been unable to remember what happened the night before because of your drinking?
9. Have you or someone else been injured because of your drinking?
10. Has a relative, friend, doctor or other health care worker been concerned about your drinking, or suggested that you cut down?