http://www.drugabuse.gov/nidamed-medical-health-professionals
AUDIT
Introduction
e Alcohol Use Disorders Identication Test (AUDIT) is a 10-item
screening tool developed by the World Health Organization (WHO) to
assess alcohol consumption, drinking behaviors, and alcohol-related
problems. Both a clinician-administered version (page 1) and a self-report
version of the AUDIT (page 2) are provided. Patients should be encouraged
to answer the AUDIT questions in terms of standard drinks. A chart
illustrating the approximate number of standard drinks in dierent alcohol
beverages is included for reference. A score of 8 or more is considered to
indicate hazardous or harmful alcohol use. e AUDIT has been validated
across genders and in a wide range of racial/ethnic groups and is well-
suited for use in primary care settings. Detailed guidelines about use of the
AUDIT have been published by the WHO and are available online:
http://whqlibdoc.who.int/hq/2001/who_msd_msb_01.6a.pdf
T
he Alcohol Use Disorders Identification Test:
I
nterview Version
Read questions as written. Record answers carefully
. Begin the AUDIT by saying
“Now I am going to ask you some questions about your use of alcoholic beverages
during this past year.”
Explain what is meant
by “alcoholic beverages”
by using
local examples of beer
, wine, vodka, etc. Code answers in terms of “standard
drinks”. Place the correct answer number in the box at the right.
1. How often do you have a drink containing alco-
hol?
(0) Never [Skip to Qs 9-10]
(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
2. How many drinks containing alcohol do you have
on a typical day when you are drinking?
(0) 1 or 2
(1) 3 or 4
(2) 5 or 6
(3) 7, 8, or 9
(4) 10 or more
3. How often do you have six or more drinks on one
occasion?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
Skip to Questions 9 and 10 if Total Score
for Questions 2 and 3 = 0
4. How often during the last year have you found
that you were not able to stop drinking once you
had started?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
5. How often during the last year have you failed to
do what was normally expected from you
because of drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
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?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
7. 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) Daily or almost daily
8. How often during the last year have you been
unable to remember what happened the night
before because you had been drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
9. Have you or someone else been injured as a
result of your drinking?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
10. Has a relative or friend or a doctor or another
health worker been concerned about your drink-
ing or suggested you cut down?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
Record total of specific items here
If total is greater than recommended cut-off, consult User’s Manual.
0 1 2 3 4
The Alcohol Use Disorders Identification Test: Self-Report Version
PATIENT: Because alcohol use can affect your health and can interfere with certain
medications and
treatments, it is important that we ask some questions about
your use of alcohol. Your answers will remain confidential so please be honest.
Place an X in one box that best describes your answer to each question.
Questions
1. How often do you have Never Monthly 2-4 times 2-3 times 4 or more
a drink containing alcohol? or less a month a week times a week
2. How many drinks containing 1 or 2 3 or 4 5 or 6 7 to 9 10 or more
alcohol do you have on a typical
day when you are drinking?
3. How often do you have six or Never Less than Monthly Weekly Daily or
more drinks on one monthly almost
occasion? daily
4. How often during the last Never Less than Monthly Weekly Daily or
year have you found that you monthly almost
were not able to stop drinking daily
once you had started?
5. How often during the last Never Less than Monthly Weekly Daily or
year have you failed to do monthly almost
what was normally expected of daily
you because of drinking?
6. How often during the last year Never Less than Monthly Weekly Daily or
have you needed a first drink monthly almost
in the morning to get yourself daily
going after a heavy drinking
session?
7.
How often during the last year
Never Less than Monthly Weekly Daily or
have you had a feeling of guilt
monthly almost
or remorse after drinking?
daily
8. How often during the last year Never Less than Monthly Weekly Daily or
have you been unable to remem-
monthly almost
ber what happened
the night
daily
before because of your drinking?
9. Have you or someone else No Yes, but Yes,
been injured because of not in the during the
your drinking? last year last year
10.
Has a relative, friend, doctor,
or No Yes, but Yes,
other health care worker been not in the during the
concerned about your drinking last year last year
or suggested you cut down?
Total
STANDARD
DRINK
EQUIVAL
ENTS
APPROXIMATE
NUMBER OF
STANDARD DRINKS IN:
BEER or COOLER
12 oz.
~5% alco
hol
12 oz. = 1
16
oz. = 1.3
22 oz. = 2
40 oz. = 3.3
MALT LIQUOR
8-9 oz.
~7% alco
hol
12 oz. = 1.5
16 oz. = 2
22 oz. = 2.5
40 oz. = 4.5
TABLE WINE
5 oz.
~12% alcohol
a 750 mL (25 oz.) bottle = 5
80-proof SPIRITS (hard liquor)
1.5 oz.
~40% alcohol
a mixed drink = 1 or more*
a pint (16 oz.) = 11
a fifth (25 oz.) = 17
1.75 L (59 oz.) = 39
*Note: Depending on factors such as the type of spirits and the recipe, one mixed
drink can contain from one to three or more standard drinks.
http://pubs.niaaa.nih.gov/publications/Practitioner/pocketguide/pocket_guide2.htm
