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Questionnaire template

Alcohol Use Disorders Identification Test (AUDIT)

Screens adults for hazardous and harmful drinking with the WHO AUDIT, plus first use, drinking situations, effects and tolerance.

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Healthcare · Alcohol assessment. All Healthcare templates

Questions in this template

First Use

  1. Thank you for taking part. These questions ask about your use of alcohol; honest answers help us understand drinking and its risks, and your responses are confidential.

  2. How old were you when you first drank alcohol?

    Choose one:

    • 12 or younger
    • 13-15
    • 16-18
    • 19-21
    • 22 or older
    • I have never drunk alcohol

Your Drinking in the Past Year

Condition: Skipped for people who have never drunk alcohol

  1. The next ten questions are the Alcohol Use Disorders Identification Test (AUDIT), developed by the World Health Organization (Babor, Higgins-Biddle, Saunders and Monteiro, 2001). Please think about the past year and count standard drinks.

  2. The AUDIT is a screening aid, not a diagnosis. If your answers concern you, please talk to a doctor or another health professional.

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

    Choose one:

    • Never
    • Monthly or less
    • 2-4 times a month
    • 2-3 times a week
    • 4 or more times a week
  4. How many drinks containing alcohol do you have on a typical day when you are drinking?

    Condition: Asked of people who drink

    Choose one:

    • 1 or 2
    • 3 or 4
    • 5 or 6
    • 7 to 9
    • 10 or more
  5. How often do you have six or more drinks on one occasion?

    Condition: Asked of people who drink

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily
  6. How often during the last year have you found that you were not able to stop drinking once you had started?

    Condition: WHO skip-out: skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily
  7. How often during the last year have you failed to do what was normally expected of you because of drinking?

    Condition: WHO skip-out: skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily
  8. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?

    Condition: WHO skip-out: skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily
  9. How often during the last year have you had a feeling of guilt or remorse after drinking?

    Condition: WHO skip-out: skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily
  10. How often during the last year have you been unable to remember what happened the night before because of your drinking?

    Condition: WHO skip-out: skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily
  11. Have you or someone else been injured because of your drinking?

    Choose one:

    • No
    • Yes, but not in the last year
    • Yes, during the last year
  12. Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?

    Choose one:

    • No
    • Yes, but not in the last year
    • Yes, during the last year

When You Drink

Condition: Asked of people who currently drink

  1. In which situations do you usually drink? Select all that apply.

    Choose any that apply:

    • Social occasions
    • At home on my own
    • With food
    • Work events
    • To unwind
    • Other
  2. In what other situations do you drink?

    Condition: Shown when Other was selected

    Open answer

Effects on Daily Life

Condition: Asked of people who currently drink

  1. How much does drinking affect each of these areas of your life?

    • Physical health
    • Sleep
    • Work or study
    • Relationships
    • Money

    For each row: choose one:

    • No effect
    • Slight effect
    • Moderate effect
    • Considerable effect
    • Severe effect

Tolerance

Condition: Asked of people who currently drink

  1. Do you now need noticeably more alcohol than you used to in order to feel the same effect?

    Choose one:

    • Yes
    • No