The following questions refer to the past 12 months.

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

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2. How many drinks containing alcohol do you have on a typical day when you are drinking? Measure the number of drinks using the following:

Beer:
12oz. = 1 drink
40oz. = 3 drinks

Wine:
5oz. glass = 1 drink
750ml bottle = 5 drinks

Liquor:
Mixed drink = 1-3 drinks
A fifth = 17 drinks
1750ml = 39 drinks

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3. How often do you have six or more drinks on one occasion?

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4. How often during the last year have you found that you were not able to stop drinking once you had started?

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5. How often during the last year have you failed to do what was normally expected of you because of drinking?

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6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?

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7. How often during the last year have you had a feeling of guilt or remorse after drinking?

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8. How often during the last year have you been unable to remember what happened the night before because of your drinking?

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9. Have you or someone else been injured because of your drinking?

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10. Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?

0 of 10 answered
 

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