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.
Preview
Healthcare · Alcohol assessment. All Healthcare templates
Questions in this template
First Use
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.
-
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
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.
The AUDIT is a screening aid, not a diagnosis. If your answers concern you, please talk to a doctor or another health professional.
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
Do you now need noticeably more alcohol than you used to in order to feel the same effect?
Choose one:
- Yes
- No