T-ACE alcohol screening tool for pregnant women.

Brief Screening Test: T-ACE

is a measurement tool of four questions that are significant identifiers of risk drinking (i.e., alcohol intake sufficient to potentially damage the embryo/fetus).

The T-ACE is completed at intake. The T-ACE score has a range of 0-5. The value of each answer to the four questions is totalled to determine the final T-ACE score.


1 Drink=

12 oz beer
12 oz cooler
 5 oz wine
 1 mixed drink (1.5 oz. hard liquor)

 Binge (drinking) = consuming 5 or more alcoholic drinks on an occasion

A total score of 2 or greater indicates potential risk for the purposes of Pregnancy Outreach Program identification of prenatal risk.

1. How many drinks does it take to make you feel high?
  1. less than or equal to 2 drinks
  2. more than 2 drinks


2. Have people annoyed you by criticizing your drinking?
  1. No
  2. Yes


3. Have you felt you ought to cut down on your drinking?
  1. No
  2. Yes

Cut Down

4. Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?
  1. No
  2. Yes

Eye Opener

Total Score = _____


Source: Sokol, Robert J., "Finding the Risk Drinker in Your Clinical Practice" in G. Robinson and R. Armstrong (eds), Alcohol and Child/Family Health: Proceedings of a Conference with Particular Reference to the Prevention of Alcohol-Related Birth Defects. Vancouver, BC., December, 1988.