Michigan Alcoholism Screening Test (MAST)

The Michigan Alcoholism Screening Test (MAST) is a 25-item questionnaire used to screen for alcohol abuse and dependence.

1. Do you enjoy a drink now and then? (Introductory -- no points)

2. Do you feel you are a normal drinker (by normal, we mean do you drink less than or as much as most other people)? (2)

3. Have you ever awakened the morning after some drinking the night before and found that you could not remember a part of the evening? (2)

4. Does your wife, husband, parent, or other relative ever worry or complain about your drinking? (1)

5. Can you stop drinking without a struggle after 1 or 2 drinks? (1)

6. Do you ever feel bad about your drinking? (1)

7. Do friends or relatives think you are a normal drinker? (2)

8. Are you able to stop drinking when you want to? (2)

9. Have you ever attended a meeting of Alcoholics Anonymous (AA)? (5)

10. Have you gotten into fights when drinking? (1)

11. Has your drinking ever created problems between you and your wife, husband, parent, or other relative? (2)

12. Has your wife, husband, or other family member ever gone to anyone for help about your drinking? (2)

13. Have you ever lost friends or because of drinking? (2)

14. Have you ever gotten into trouble at work or school because of drinking? (2)

15. Have you ever lost a job because of drinking? (2)

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

17. Do you ever drink before noon fairly often? (1)

18. Have you ever been told that you had liver trouble? Cirrhosis? (2)

19. After heavy drinking have you ever had delirium tremors (DTs), severe shaking, heard voices, or seen things that were not there? (2)

20. Have you ever gone to anyone for help about your drinking? (5)

21. Have you ever been in a hospital because of drinking? (5)

22. Have you ever been a patient in a psychiatric hospital or on a psychiatric ward of a general hospital where drinking was part of the problem? (2)

23. Have you ever been seen at a psychiatric or mental health clinic or gone to the doctor, social worker, or clergyman for help with an emotional problem in which drinking had played a part? (2)

24. Have you ever been arrested for drunk driving, driving while intoxicated, or driving under the influence of alcoholic beverages? (If yes, how many times: ______________) (2)

25. Have you ever been arrested, or taken into custody, even for a few hours, because of other drunken behavior? (If yes, how many times: ______________) (2)

Interpretation and Scoring Total the number of points. The following cutoff points are recommended for adults:

* 0 - 3 points = not alcohol dependent

* 4 points = suggests alcohol dependency

* 5 - 50 points = alcohol dependent

Reference: Selzer, M.L. The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. American Journal of Psychiatry. 1971; 127(12):89-94.
Reproduced with permission.