|
|
Name_______ |
|
|
Date_______ |
|
|
Score_______ |
|
|
Yes No |
1. |
Does it take more than it used to for you to get high? [Tolerance] |
2 - |
2. |
Have you become Angry or A<nnoyed when others express concern about your use? |
1 - |
3. |
Have you tried to Cut down or quit? |
1 - |
4. |
Have you had an Eye opener? |
1 - |
Scoring: Two points or more indicates high-risk alcohol use.
T-ACE is a modification of the CAGE screening test and was designed for use in obstetric settings to identify at-risk drinkers.
Refrence: Sokol RJ; Martier SS; Ager JW. The T-ACE questions: Practical prenatal detection of risk-drinking. (25 refs.) American Journal of Obstetrics and Gynecology 160(4): 863-870, 1989.
Bibliography on T-ACE
Copy for Clinical Use
