Alcohol Use Disorders Identification Test
Questionnaire to routinely assess the nature and severity of alcohol misuse. Result will be sent to your email.
Sign in to Google to save your progress. Learn more
Email *
How often do you have a drink that contains alcohol? *
How many standard alcoholic drinks do you have on a typical day when you are drinking? *
How often do you have 6 or more standard drinks on one occasion? *
How often in the last year have you found you were not able to stop drinking once you had started? *
How often in the last year have you failed to do what was expected of you because of drinking? *
How often in the last year have you needed an alcoholic drink in the morning to get you going? *
How often in the last year have you had a feeling of guilt or regret after drinking? *
How often in the last year have you not been able to remember what happened when drinking the night before? *
Have you or someone else been injured as a result of your drinking? *
Has a relative/friend/doctor/health worker been concerned about your drinking or advised you to cut down? *
Submit
Clear form
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms