AUDIT-12

Description: 
The AUDIT- 12 is designed to assess alcohol consumption in the homeless population.

Circle the answer that BEST DESCRIBES your drinking and drug use for the LAST YEAR.

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

(0) Never (1) Monthly or less(2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


2) How many drinks* containing alcohol do you have on a typical day when you are drinking? *(number of STANDARD DRINKS: 12 oz. beer, 5 oz. wine, 1-1.5 oz. liquor)

(0) none (0) 1 OR 2 (1) 3 OR 4 (2) 5 OR 6 (3) 7 to 9 (4) 10 or more


3) How often do you have five (5) or more drinks on one occasion?

(0) Never (1) Less than monthly (2) Monthly (3) Weekly (4) Daily or almost daily


4) How often do you use other substances (cocaine, marijuana, pills, etc) to get high or change your mood?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


5) How often do you use two or more substances (including alcohol) on the same occasion?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


A/D involvement____________


In the last year, HOW OFTEN have these events happened to you?


6) How often have you found that you were unable to stop drinking or using drugs once you started?

(0) Never (1) Less than monthly (2) Weekly or less(3) Two or three times a week (4) Daily or almost daily


7) How often have you failed to do what was normally expected from you because of drinking or drug using?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


8) How often have you needed a drink or other drug, or to get high first thing in the morning to get yourself going after a night of heavy drinking or drug using?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


Dependence_______________


9) How often have you had a feeling of guilt or remorse after drinking or drug using?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


10) How often have you been unable to remember what happened the night before because of drinking or using?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


11) Have you or someone else been injured because of your drinking or drug using?

(0) Never (1) Less than monthly (2) Weekly or less (3) Two or three times a week (4) Daily or almost daily


12) Has a relative or friend or doctor or other health worker been concerned about your drinking/drug-using, or suggested that you stop using, cut down or get treatment?

(0) No (2) Yes, but not in the last year (4) Yes, during the last year.


Harm _____________________



Total score_________________

Campbell, T.C., Barrett, D., Cisler, R.A., Solliday-McRoy, C., Melchert, T.P., & Zweben, A. (2001). Reliability estimates of the Alcohol Use Disorders Inventory Test revised to include other drugs (AUDIT 12). Poster Session presented at the annual meeting of the Research Society on Alcoholism, Montreal (June).

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