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Questionnaire template

Alcohol Use Screening (AUDIT)

Screens adults for hazardous or harmful alcohol use over the past year using the free WHO AUDIT questionnaire.

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Healthcare · Alcohol assessment. All Healthcare templates

Questions in this template

Drinking Frequency and Amount

  1. Thank you for taking part. These questions ask about your use of alcohol; your answers are confidential, so please answer as accurately as you can.

  2. This questionnaire is the Alcohol Use Disorders Identification Test (AUDIT), developed by the World Health Organization (Babor, Higgins-Biddle, Saunders and Monteiro, 2001). It is free to use.

  3. Your result is a screening aid, not a diagnosis. A 'drink' means one standard drink, such as a small glass of wine, a bottle of regular beer or a single measure of spirits.

  4. 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

  5. How many drinks containing alcohol do you have on a typical day when you are drinking?

    Condition: Shown to people who drink

    Choose one:

    • 1 or 2
    • 3 or 4
    • 5 or 6
    • 7 to 9
    • 10 or more

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

    Condition: Shown to people who drink

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily

Control over Drinking

  1. How often during the last year have you found that you were not able to stop drinking once you had started?

    Condition: Skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily

  2. How often during the last year have you failed to do what was normally expected of you because of drinking?

    Condition: Skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily

  3. 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: Skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily

After-Effects of Drinking

  1. How often during the last year have you had a feeling of guilt or remorse after drinking?

    Condition: Skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily

  2. How often during the last year have you been unable to remember what happened the night before because of your drinking?

    Condition: Skipped when items 2 and 3 both score 0

    Choose one:

    • Never
    • Less than monthly
    • Monthly
    • Weekly
    • Daily or almost daily

Injury and Concern from Others

  1. 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

  2. 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