Alcohol Assessment Questionnaires

The Brief MAST

Score

Questions

1. Do you feel you are a normal drinker?

2. Do friends or relatives think you're a normal drinker?

3. Have you ever attended a meeting of Alcoholics Anonymous?

4. Have you ever lost boyfriends/girlfriends because of drinking?

5. Have you ever got into trouble at work because of drinking?

6. Have you ever neglected your obligations, your family or your work for more than 2 days in a row because you were drinking?

7. Have you ever had DTs, sever shaking, heard voices or seen things that weren't there after heavy drinking?

8. Have you ever gone to anyone for help about your drinking?

9. Have you ever been in a hospital because of drinking? 10. Have you ever been arrested for drunk driving or driving after drinking?

Total

The brief MAST is useful as a quick screening instrument to distinguish between alcohol dependent (a score of 6 or above) and non-alcohol dependent individuals.

From Pokomy, A., D., Miller, B. A., Kaplan, H. B. The Brief MAST: a shorten version of the Michigan Alcoholism Screening Test. Am. J. Psychiat. 131:1121-1123, 1974.

The CAGE Questionnaire

Score

Questions Yes No

1. Have you ever felt you should Cut down on your drinking? ___

2. Have people Annoyed you by criticizing your drinking? ___

3. Have you ever felt bad or Guilty about your drinking? ___

4. Have you ever had a drink first thing in the morning to steady your nerves, or to get rid of a hang over (Eye-opener)? ___

Two or more positive responses sensitive indicator of alcohol dependence.

From Mayfield, D., McLeod, G. and Hall, P. The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument. Am. J. Psychiatry. 131:1121-1123, 1974.

The AUDIT Questionnaire

Circle the number that comes closest to the patient's answer.

(0) NEVER (1) MONTHLY OR (2) TWO TO FOUR (3) TWO TO THREE 4) FOUR OR MORE LESS TIMES A MONTH TIMES A WEEK TIMES A WEEK

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

(0) 1 OR 2 (1)3 OR 4 (2) 5 OR 6 (3)70R8 (4)10ORMORE

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

(0) NEVER (1) LESS THAN (2) MONTHLY (3) WEEKLY (4) DAILY OR

4. How often during the last year have you found that you were not able to stop drinking once you had (0) NEVER (1) LESS THAN (2) MONTHLY (3) WEEKLY (4) DAILY OR

5. How often during the last year have you failed to do what was normally expected from you because of (0) NEVER (1) LESS THAN (2) MONTHLY (3) WEEKLY (4) DAILY OR

6. How often during the last year have you needed a first drink in the morning to get yourself going after a (0) NEVER (1) LESS THAN (2) MONTHLY (3) WEEKLY (4) DAILY OR

7. How often during the last year have you had a feeling of guilt or remorse after drinking? (0) NEVER (1) LESS THAN (2) MONTHLY (3) WEEKLY (4) DAILY OR

8. How often during the last year have you been unable to remember what happened the night before (0) NEVER (1) LESS THAN (2) MONTHLY (3) WEEKLY (4) DAILY OR

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

(0) NO (2) YES, BUT NOT IN THE LAST YEAR(4) YES, DURING THE LAST YEAR

10. Has a relative or friend or a doctor or other health worker, been concerned about your drinking or

(OJNO y (2) YES, BUT NOT IN THE LAST YEAR(4) YES, DURING THE LAST YEAR

* In determining the response categories it has been assumed that one "drink" contains lOg alcohol. In countries where the alcohol content of a standard drink differs by more than 25% from lOg, the response

A score of 8 produces the highest sensitivity; a score of ten or more results in higher specificity. In general high scores on the first three items in the absence of elevated scores on the remaining items suggest hazardous alcohol use. Elevated scores on items 4 through 6 imply the emergence of alcohol dependence. High scores on the remaining items suggest harmful alcohol use.

For details see: Babor, T. F., Ramon de la Fuente, J., Saunders, J., Grant, M. (1992) AUDIT The Alcohol Use Disorders Identification Test: Guidelines for use in Primary Health Care. World Health Organisation.

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