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1. How often do you have a drink containing alcohol? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
2. How many drinks containing alcohol do you have on a typical day when you are drinking? - (1 or 2 drinks, 0) (3 or 4 drinks, 1) (5 or 6 drinks, 2) (7 to 9 drinks, 3) (10 or more, 4)
3. How often do you have six or more drinks on one occasion? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
4. How often during the last year have you found that you were not able to stop drinking once you had started? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
5. How often during the last year have you failed to do what was normally expected from you because of drinking? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
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? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
7. How often during the last year have you had a feeling of guilt or remorse after drinking? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
8. How often during the last year have you been unable to remember what happened the night before because you had been drinking? - (Never, 0) (Monthly or less, 1) (Two to four times a month, 2) (Two to three times a week, 3) (Four or more times a week, 4)
9. Have you or someone else been injured as a result of your drinking? - (No, 0) (Yes, but not in the last year, 2) (Yes, during the last year, 4)
10. Has a relative or friend, or a doctor or other health worker been concerned about your drinking, or suggested you cut down? - (No, 0) (Yes, but not in the last year, 2) (Yes, during the last year, 4)
Scoring: The points awarded for each question range from 0 to 4. The total scores range from 0 to 40. The WHO has organized the scores into four "zones," each with a suggested clinical response. It is emphasized that clinical judgment is required and must be factored in, especially when the client’s score is not consistent with other evidence.
Recommended Interventions
| Zone 1 |
0 - 7 points |
Intervention: Alcohol education |
| Zone 2 |
8 - 15 points |
Intervention: Simple advice |
| Zone 3 |
16 - 19 points |
Intervention: Simple advice, plus brief counseling and continued monitoring |
| Zone 4 |
20 - 40 points |
Intervention: Referral for diagnostic evaluation and treatment |
Sensitivity and Specificity
|
% those with
score who have
alcohol abuse / dependence |
% all alcoholics
with this score
|
% all alcoholics
with lower score
|
Score 12 |
97 % |
28 % |
72 % |
Score 8 |
90 % |
61 % |
39 % |
Score 2 |
25 % |
97 % |
3 % |
Bibliography on AUDIT
Copy for clinical use: (English) (Spanish)
December 2010
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