CASES - Community Alcohol Screening Educational Services

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Questionnaire

About your drinking habbits How often do you have a drink containing alcohol? NeverMonthly or less2 - 4 times a month2 - 3 times a week4 or more times a week How many drinks containing alcohol do you have on a typical day when you are drinking? 1 or 23 or 45 or 67 or 89 or more How often during the last year have you found that you were not able to stop drinking once you had started? NeverLess than monthlyMonthlyWeeklyDaily or almost daily How often during the last year have you failed to do what was normally expected of you because of drinking? NeverLess than monthlyMonthlyWeeklyDaily or almost daily Has a relative, friend, doctor or other health worker been concerned about your drinking and suggested you cut down? NoYes, but not in the past yearYes, during the last year

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