The Alcohol Use Disorders Identification Test: Self-Report Version

Instructions: Because alcohol use can affect your health and can interfere with certain medications and treatments, it is important that we ask some questions about your use of alcohol. Your answers will remain confidential so please be honest. Please choose the option that best describes your answer to each question.

Question 1, 2 and 3 that a standard drink equivalent is 10 grams of alcohol. You may need to adjust the number of drinks in the response categories for these questions in order to fit the most common drink sizes and alcohol strength in your country. (In India -alcohol quantity is given in grams as follows, 330 ml Mild Beer Can: 20 g. / 330 ml Strong Beer Can: 40 g / 650 ml Bottle Mild Beer: 26 g/ 650 ml Bottle Strong Beer: 40 g/ Quarter 180 ml Wine: 20 g , Quarter 180 ml Brandy/Whisky/Rum/Vodka/Tequila/Gin: 80 g Approximate Amount)

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

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

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

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

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

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?

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

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

9. Have you or someone else been injured because of your drinking?

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

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