1. How often do you have a drink containing alcohol?
Never
Monthly or less
2 to 4 times a month
2 or 3 times a week
4 or more times a week

2. How many alcohol units do you have on a typical day when you are drinking?
None
1 or 2½
3 or 4
5 or 6
7 to 9
10 or more

3. How often do you have seven or more units on one occasion?
Never
Less than monthly
Monthly
Weekly
Daily or almost daily

4. How often during the last year have you found that you were unable to stop drinking once you had started?
Never
Less than monthly
Monthly
Weekly
Daily or almost daily

5. How often during the last year have you failed to do what was normally expected from you because of drinking?
Never
Less than monthly
Monthly
Weekly
Daily or almost daily

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
Less than monthly
Monthly
Weekly
Daily or almost daily

7. How often during the last year have you had a feeling of guilt or remorse after drinking?
Never
Less than monthly
Monthly
Weekly
Daily or almost daily

8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
Never
Less than monthly
Monthly
Weekly
Daily or almost daily

9. Have you or someone else been injured as the result of your drinking?
Never
Yes, but not in the last year
Yes, during the last year

10. Has a relative, friend, or a doctor or other health worker been concerned about your drinking or suggested you cut down?
Never
Yes, but not in the last year
Yes, during the last year