Ha Activity#6 Audit
Ha Activity#6 Audit
SCHOOL OF NURSING
HEALTH ASSESSMENT
Related Learning Experience
Second Semester, AY 2019 – 2020
Activity #6
Alcohol Use Disorders Identification Test (AUDIT)
AUDIT QUESTIONNAIRE:
Instructions:
1) How often do you have a drink containing alcohol?
Never (0 points)
Monthly or less (1 point)
2 to 4 times a month (2 points)
2 to 3 times a week (3 points)
4 or more times a week (4 points)
2) How many drinks containing alcohol do you have on a typical day when you are drinking?
1 or 2 (0 points)
3 or 4 (1 point)
5 or 6 (2 points)
7 to 9 (3 points)
10 or more (4 points)
3) How often do you have 5 or more drinks on one occasion?
Never (0 points)
Less than monthly (1 point)
Monthly (2 points)
Weekly (3 points)
Daily or almost daily (4 points)
4) How often during the last year have you found that you were not able to stop drinking once you
had started?
Never (0 points)
Less than monthly (1 point)
Monthly (2 points)
Weekly (3 points)
1
Daily or almost daily (4 points)
5) How often during the last year have you failed to do what was normally expected of you because of
drinking?
Never (0 points)
Less than monthly (1 point)
Monthly (2 points)
Weekly (3 points)
Daily or almost daily (4 points)
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?
Never (0 points)
Less than monthly (1 point)
Monthly (2 points)
Weekly (3 points)
Daily or almost daily (4 points)
7) How often during the last year have you had a feeling of guilt or remorse after drinking?
Never (0 points)
Less than monthly (1 point)
Monthly (2 points)
Weekly (3 points)
Daily or almost daily (4 points)
8) How often during the last year have you been unable to remember what happened the night before
because you had been drinking?
Never (0 points)
Less than monthly (1 point)
Monthly (2 points)
Weekly (3 points)
Daily or almost daily (4 points)
9) Have you or someone else been injured as a result of your drinking?
No (0 points)
Yes, but not in the last year (2 points)
Yes, during the last year (4 points)
10) Has a relative, a friend, a doctor or another health worker been concerned about your drinking or
suggested you cut down?
No (0 points)
Yes, but not in the last year (2 points)
Yes, during the last year (4 points)
2
TOTAL SCORE: ____________ INTERPRETATION: ______________________________
0 to 7 points:Low risk
8 to 15 points:Medium risk
16 to 19 points:High risk
20 to 40 points:Addiction likely
Notes
Low risk (0 to 7 points): You probably do not have a problem with alcohol. Continue drinking in
moderation or not at all.
Medium risk (8 to 15 points): You may drink too much on occasion. This may put you or others at risk. Try
to cut down on alcohol or stop drinking completely.
High risk (16 to 19 points): Your drinking could lead to harm, if it has not already. It is important that you
cut down on alcohol or stop drinking completely. Ask your doctor or nurse for advice on how best to cut
down.
Addiction likely (20+ points): It is likely that your drinking is causing harm. Speak to your doctor or nurse,
or an addiction specialist. Ask about medications and counseling that can help you stop drinking. If you
are dependent on alcohol, do not stop drinking without the help of a healthcare professional.
Perfect Score: 15
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Signature Over Printed Name of RLE Instructor