Appendix B-1.1: Interview Guide for Alcohol Consumption
- Maximum number of drinks* consumed on any one day in past 1–3 months
- Number of drinks per week
- Previous alcohol problem
- Attendance at treatment program for alcohol
- Family history of alcohol or drug problem
* Standard drink = 1 bottle beer (12 oz, 5%)
= 5 oz glass wine (5 standard drinks in 750 ml wine bottle)
= 1.5 oz liquor (vodka, scotch) (18 standard drinks in 26 oz bottle 40% alcohol)
Low-Risk Drinking Guidelines
(No more than 2 standard drinks on any one day)
Women: up to 9 standard drinks a week.
Men: up to 14 standard drinks a week.
Patients who exceed the Low-Risk Drinking Guidelines are
considered at-risk for acute problems such as trauma, and/or
chronic problems such as depression and hypertension.
Appendix B-1.3: CAGE Questionnaire
"CAGE" is an acronym formed from the italicized words in the questionnaire (cut-annoyed-guilty-eye).
The CAGE is a simple screening questionnaire to id potential problems with alcohol.
Two “yes” responses is considered positive for males; one “yes” is considered positive for females.
Please note: This test will only be scored correctly if you answer each one of the questions.
Please check the one response to each item that best describes how you have felt and behaved over your whole life.
- Have you ever felt you should cut down on your drinking?
- Have people annoyed you by criticising your drinking?
- Have you ever felt bad or guilty about your drinking?
- Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?
Substance Use Screening & Assessment Instruments Database
Alcohol And Drug Abuse Institute
University of Washington