Alcohol Intake Questionnaire
Answer the following 10 questions to assess the potential harm of your alcohol intake.

Adapted from an Alcohol Questionnaire, Copyright  World Health Organisation, 1993 Centre for Drug and Alcohol Studies, Department of Psychiatry, Sydney University, sponsored by The Northside Clinic.

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

5 or more times a week.
2 to 4 times a week.
once a week or less.
monthly or less.
never.

Question 2.
How many standard drinks do you have on a typical day when you are drinking?

A standard drink is: 
a middy (10 oz) of normal beer, or
one glass of wine, or
a nip (30mls) spirits, or
2 middies of light beer

7 or more standard drinks.
5 or 6 standard drinks.
3 or 4 standard drinks.
2 standard drinks.
one standard drink.

Question 3.
How often do you have 6 or more standard drinks on one occasion?

Remember, a standard drink is: 
a middy (10 oz) of normal beer, or
one glass of wine, or
a nip (30mls) spirits, or
2 middies of light beer

daily, or almost daily.
weekly.
monthly.
less than monthly.
never.

Question 4.
How often during the last year have you found that you were not able to stop drinking once you had started?

daily, or almost daily.
weekly.
monthly.
less than monthly.
never.

Question 5.
How often during the last year have you failed to do what was normally expected of you because of your drinking?

daily, or almost daily.
weekly.
monthly.
less than monthly.
never.

Question 6.
How often in the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?

daily, or almost daily.
weekly.
monthly.
less than monthly.
never.

Question 7.
How often during the last year have you had a feeling of guilt or regret after drinking?

daily, or almost daily.
weekly.
monthly.
less than monthly.
never.

Question 8.
How often during the last year have you been unable to remember what happened the night before because you had been drinking?

daily, or almost daily.
weekly.
monthly.
less than monthly.
never.

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

yes, during the last year.
yes, but not in the last year.
no.

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

yes, during the last year.
yes, but not in the last year.
no.

HOW DID YOU SCORE?

Your score explained.

Females with a score of 5 or less, or
Males with a score of 6 or less

You don't appear to be drinking too much and you don't appear to be physically dependent on alcohol. 

Females with a score of 6 or more but less than 13, or
Males with a score of 7 or more but less than 13

Your answers indicate that you are drinking too much or you have previously had problems with drinking, such as binge drinking.  However, you are unlikely to be physically dependent on alcohol.  Nevertheless, you are well advised to cut down on your drinking.

Males or Females with a score of 13 or more

You have problems with drinking.  You are also likely to be physically dependent on alcohol.    You have signs of physical dependency on alcohol.  You are best advised to stop drinking altogether forever.  You should also have a thorough physical examination by your doctor including blood tests.

Did you find the test above useful?

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