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Alcohol screening questionnaire (AUDIT) Drinking alcohol can affect your health and some medications you may take. Please help us provide you with the best medical care by answering the questions.

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How to use or fill out the OR Alcohol Screening Questionnaire (USAUDIT) online

Filling out the OR Alcohol Screening Questionnaire (USAUDIT) is an essential step in assessing alcohol consumption and its impact on health. This guide provides comprehensive and clear instructions to help users navigate the questionnaire effectively.

Follow the steps to complete the questionnaire online

  1. Click ‘Get Form’ button to access the questionnaire and open it in your preferred online editor.
  2. Begin with the first question about how often you have a drink containing alcohol. Select your response from the options: Never, Monthly or less, or Two to four times a month.
  3. Proceed to the second question, which asks how many drinks you typically consume on a day you drink. Choose from Zero to two, Three or four, Five or six, and Seven to nine.
  4. Continue to the third question regarding how often you have six or more drinks on one occasion. Select from Never, Less than monthly, Monthly, or Weekly.
  5. Move on to the fourth question about having difficulty stopping drinking once begun. Again, select an option that best represents your experience.
  6. Answer the fifth question concerning failing to meet responsibilities due to drinking. Choose the option that applies to you.
  7. Respond to the sixth question on needing a drink in the morning after heavy drinking. Select the appropriate choice.
  8. For question seven, indicate how often you have felt guilt or remorse after drinking. Choose from Never, Less than monthly, Monthly, or Weekly.
  9. Proceed to the eighth question regarding memory loss due to drinking during the last year. Select your answer.
  10. In question nine, indicate if you or someone else has been injured because of your drinking by selecting Yes or No.
  11. Answer question ten about whether anyone has expressed concern about your drinking by selecting Yes or No.
  12. Finally, review all your responses to ensure accuracy. Once complete, you can save changes, download, print, or share the filled questionnaire as needed.

Complete your OR Alcohol Screening Questionnaire online today for a better understanding of your alcohol consumption.

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The AUDIT question 2 asked, "How many drinks containing alcohol did you have on a typical day when you were drinking in the last year?" with the following response options: I do not drink (0 points), 1 to 2 drinks (0 points), 3 to 4 drinks (1 point), 5 to 6 drinks (2 points), 7 to 9 drinks (3 points), and 10 or more ...

While there are no specific tests to diagnose alcohol use disorder, certain patterns of lab test results may strongly suggest it. And you may need tests to identify health problems that may be linked to your alcohol use. Damage to your organs may be seen on tests. Complete a psychological evaluation.

Calculator: Alcohol consumption screening AUDIT questionnaire in adults (Patient education) - UpToDate. 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 5 or more drinks on one occasion?

alcohol use disorder in an office practice? Popular questionnaires to screen for alcohol misuse include the CAGE, the TWEAK, and the short form of the Alco- hol Use Disorder Identification Test (AUDIT- C). Any of these is recommended.

The CAGE questionnaire consists of four questions that relate to your use of alcohol: Have you ever felt that you ought to C ut down on your drinking? Do you get A nnoyed by criticism of your drinking? Do you ever feel G uilty about your drinking?

The CAGE questionnaire, among other methods, has been extensively validated for use in identifying alcoholism. CAGE is considered a validated screening technique with high levels of sensitivity and specificity.

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 CAGE questionnaire is used to test for alcohol use disorder in adults. It is not used to diagnose the disease but only to show whether a problem might exist. The CAGE questionnaire consists of four questions that relate to your use of alcohol: Have you ever felt that you ought to C ut down on your drinking?

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© Copyright 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
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
altaFlow
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232