How often do you have a drink?

(0) never (1) monthly or less (2) 2 to 4 times a month (3) 2 to 3 times a week (4) 4 or more times a week

How many drinks do you have on a typical day when you drink?

(0) 1 or 2 (1) 3 or 4 (2) 5 or 6 (3) 7 to 9 (4) 10 or more

How often do you have six or more drinks on one occasion?

(0) never (1) less than monthly (2) monthly (3) weekly (4) almost daily

How often during the last year have you found yourself unable to stop drinking?

(0) never (1) less than monthly (2) monthly (3) weekly (4) almost daily

How often during the past year have you failed to do what was expected of you because of drinking?

(0) never (1) less than monthly (2) monthly (3) weekly (4) almost daily

How often during the last year have you needed a first drink in the morning to get yourself going?

(0) never (1) less than monthly (2) monthly (3) weekly (4) almost daily

How often during the last year have you had a feeling of guilt or remorse after drinking?

(0) never (1) less than monthly (2) monthly (3) weekly (4) almost daily

How often during the last year have you been unable to remember what happened the night before because of drinking?

(0) never (1) less than monthly (2) monthly (3) weekly (4) almost daily

Have you or someone else been injured as a result of your drinking?

(0) no (1) yes, but not in the last year (4) yes, during the last year

Has a relative or friend or doctor been concerned about your drinking or suggested you cut down?

(0) no (1) yes, but not in the last year (4) yes, during the last year

A score of 8 or more suggests the need for professional evaluation of your drinking habits.