Bayberry Clinic Recovery Centre

1. How often do you have a drink containing alcohol?

· Never                                (0)

· Monthly or less                 (1)

· 2-4 times a month          (2)

· 2-3 times a week           (3)

· 4 or more times a week (4)

2. How many standard drinks containing alcohol do you have on a typical day when

drinking?

· 1 or 2           (0)

· 3 or 4           (1)

· 5 or 6           (2)

· 7 to 9           (3)

· 10 or more  (4)

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

· Never                           (0)

· Less than monthly      (1)

· Monthly                        (2)

· Weekly                        (3)

· Daily or almost daily  (4)

4. During the past year, how often have you found that you were not able to stop

drinking once you had started?

· Never                          (0)

· Less than monthly      (1)

· Monthly                        (2)

· Weekly                        (3)

· Daily or almost daily  (4)

5. During the past year, how often have you failed to do what was normally expected

of you because of drinking?

· Never                            (0)

· Less than monthly       (1)

· Monthly                         (2)

· Weekly                         (3)

· Daily or almost daily   (4)

6. During the past year, how often have you needed a drink in the morning to get

yourself going after a heavy drinking session?

· Never                           (0)

· Less than monthly      (1)

· Monthly                        (2)

· Weekly                        (3)

· Daily or almost daily  (4)

7. During the past year, how often have you had a feeling of guilt or remorse after

drinking?

· Never                          (0)

· Less than monthly     (1)

· Monthly                       (2)

· Weekly                       (3)

· Daily or almost daily (4)

8. During the past year, have you been unable to remember what happened the night

before because you had been drinking?

· Never                         (0)

· Less than monthly     (1)

· Monthly                       (2)

· Weekly                       (3)

· Daily or almost daily (4)

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

· No   (0)

· Yes, but not in the past year  (2)

· Yes, during the past year       (4)

10. Has a relative or friend, doctor or other health worker (or colleague) been concerned about your drinking or suggested you cut down?

· No  (0)

· Yes, but not in the past year (2)

· Yes, during the past year      (4)

 SCORING
 

A score of 8 or more is associated with harmful or hazardous drinking, a score of 13

or more in women, and 15 or more in men, is likely to indicate alcohol dependence.