How often do you have a drink containing alcohol?
Never
Monthly or less
2-4 times a month
2-3 times a week
4 or more times a week
How many standard drinks containing alcohol do you have on a typical day when drinking?
1 or 2
3 or 4
5 or 6
7 to 9
10 or more
How often do you have six or more drinks on one occasion?
Less than monthly
Monthly
Weekly
Daily or almost daily
During the past year, how often have you found that you were not able to stop drinking once you had started?
During the past year, how often have you failed to do what was normally expected of you because of drinking?
During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?
During the past year, how often have you had a feeling of guilt or remorse after drinking?
During the past year, how often have you been unable to remember what happened the night before because you had been drinking?
Have you or someone else been injured as a result of your drinking?
No
Yes, but not in the past year
Yes, during the past year
Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?
On average, how much do you spend per drink?
$4
$6
$8
$10
$12
On average, how many alcoholic drinks do you purchase per week?
0-5
5-10
10-15
15-20
20-30