1.
| Do you feel you are a normal drinker?
| -
| 2
|
2. | Do friends or relatives think you are a normal drinker? | - | 2 |
3. | Have you ever attended
a meeting of Alcoholics Anonymous AA? | 5 | - |
4. | Have you ever
lost friends or girlfriends/boyfriends because of your drinking? | 2 | - |
5. | Have you
ever gotten into trouble at work because of drinking? | 2 | - |
6. | Have you
ever neglected your obligations, your family, or your | 2 | - |
| | work for 2 or more days in a row because you were
drinking? | | |
7. | Have you ever had delirium tremens DTs, severe shaking, | 2 | - |
| | after heavy drinking? | 2 | - |
8. | Have you ever gone to anyone for help about your drinking? | 5 | - |
9. | Have you
ever been in a hospital because of your drinking? | 5 | - |
10. | Have you ever been arrested for drunk driving or driving after | 2 | - |
| | drinking?
SCORING
Negative responses are alcoholic responses Scoring: < 3 points, non-alcoholic;
4 points, suggestive of alcohol abuse/dependency; 5 or more, indicates
alcohol abuse/dependency
| | |