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AUDIT-C - Alcohol Use Screening
Fill the form
Please select the answer that is correct for you.
1. How often do you have a drink containing alcohol?
SCORE
Never (0)
Monthly or less (1)
Two to four times a month (2)
Two to three times per week (3)
Four or more times a week (4)
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
1 or 2 (0)
3 or 4 (1)
5 or 6 (2)
7 to 9 (3)
10 or more (4)
3. How often do you have six or more drinks on one occasion?
Never (0)
Less than monthly (1)
Monthly (2)
Weekly (3)
Daily or almost daily (4)
TOTAL SCORE
Add the number for each question to get your total score.
Maximum score is 12. A score of ≥ 4 identifies 86% of men who report drinking above recommended levels or meets criteria for alcohol use disorders. A score of > 2 identifies 84% of women who report hazardous drinking or alcohol use disorders.
Show Data
AUDITC | Patient details and clinician review
Patient name
Date
DOB
MRN
Score / interpretation (entered manually)
Total Score
Interpretation
Review the supplied instrument instructions before scoring
Clinician name
Review date
Follow-up / clinical notes
Submit
