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Alcohol screening questionnaire (AUDIT) Patient name: Our clinic asks all patients about alcohol use at least once a year. Drinking alcohol can affect your health and some medications you may take.

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How to fill out the Audit Questionnaire online

Filling out the Alcohol Use Disorders Identification Test (AUDIT) questionnaire online is a straightforward process that helps healthcare providers assess your alcohol consumption and its potential impact on your health. By accurately completing this form, you contribute to your medical care and ensure personalized support based on your responses.

Follow the steps to complete the Audit Questionnaire online

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your name in the designated field labeled 'Patient name.' This information is crucial for identifying your responses.
  3. Provide your date of birth in the field provided. This ensures that the assessment is appropriate for your age group.
  4. In the section titled 'One drink equals,' familiarize yourself with the standard drink sizes. This will help you answer subsequent questions accurately.
  5. Proceed to question one, which asks how often you have a drink containing alcohol. Select the option that best represents your drinking frequency.
  6. For question two, indicate the number of drinks you typically consume on a day when you are drinking by selecting the appropriate range.
  7. Continue answering questions three to eight, which assess your drinking behavior and the impact it may have on your life. Use the response options to reflect your experiences honestly.
  8. Respond to the final questions regarding any injuries related to drinking and the concerns of others about your alcohol use.
  9. After providing all necessary information, review your responses for accuracy.
  10. Once satisfied, you can save changes, download a copy of the questionnaire for your records, print it out, or share it with your healthcare provider if necessary.

Complete your Audit Questionnaire online to ensure you receive tailored health advice.

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The AUDIT (Alcohol Use Disorders Identification Test) is a simple and effective method of screening for unhealthy alcohol use, defined as risky or hazardous consumption or any alcohol use disorder.

The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the patient's drinking is affecting his/her health and safety.

The AUDIT (Alcohol Use Disorders Identification Test) is a simple and effective method of screening for unhealthy alcohol use, defined as risky or hazardous consumption or any alcohol use disorder.

The AUDIT test focuses on identifying the preliminary signs of hazardous drinking and mild dependence. It is used to detect alcohol problems experienced within the last year. It is one of the most accurate alcohol screening tests available, rated 92 percent effective in detecting hazardous or harmful drinking.

Michigan alcohol screening test (MAST). ... Alcohol use disorders identification test (AUDIT). ... Fast alcohol screening test (FAST). ... TWEAK.

The Alcohol Use Disorders Identification Test (AUDIT-C) is an alcohol screen that can help identify patients who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence).

Scoring: Item responses on the CAGE questions are scored 0 for "no" and 1 for "yes" answers, with a higher score being an indication of alcohol problems. A total score of two or greater is considered clinically significant.

It provides a framework for intervention to help risky drinkers reduce or cease alcohol consumption and thereby avoid the harmful consequences of their drinking. The AUDIT also helps to identify alcohol dependence and some specific consequences of harmful drinking.

The AUDIT (Alcohol Use Disorders Identification Test) is a simple and effective method of screening for unhealthy alcohol use, defined as risky or hazardous consumption or any alcohol use disorder.

Scoring the auditScores for each question range from 0 to 4, with the first response for each question (eg never) scoring 0, the second (eg less than monthly) scoring 1, the third (eg monthly) scoring 2, the fourth (eg weekly) scoring 3, and the last response (eg. daily or almost daily) scoring 4.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232