The following questions cover a wide
range of topics having to do with drinking.
Please read each question carefully, but do not think too much about its exact meaning.
Think about your most recent drinking habits and answer each question by using the criteria listed below.
Either use the automation on this web page, or take a sheet of paper
and write your answer next to the number of each question.
1. Do you find difficulty in getting the thought of drinking out of
your mind?
Never
Sometimes
Often
Nearly Always
2. Is getting drunk more important than your next meal?
Never
Sometimes
Often
Nearly Always
3. Do you plan your day around when and where you can drink?
Never
Sometimes
Often
Nearly Always
4. Do you drink in the morning, afternoon, and evening?
Never
Sometimes
Often
Nearly Always
5. Do you drink for the effect of alcohol without caring what the drink
is?
Never
Sometimes
Often
Nearly Always
6. Do you drink as much as you want irrespective of what you are doing
the next day?
Never
Sometimes
Often
Nearly Always
7. Given that many problems might be caused by alcohol, do you still
drink too much?
Never
Sometimes
Often
Nearly Always
8. Do you know that you won't be able to stop drinking once you start?
Never
Sometimes
Often
Nearly Always
9. Do you try to control your drinking by giving it up completely for
days or weeks at a time?
Never
Sometimes
Often
Nearly Always
10. The morning after a heavy drinking session do you need your first
drink to get yourself going?
Never
Sometimes
Often
Nearly Always
11. The morning after a heavy drinking session do you wake up with
a definite shakiness of your hands?
Never
Sometimes
Often
Nearly Always
12. After a heavy drinking session do you wake up and retch or vomit?
Never
Sometimes
Often
Nearly Always
13. The morning after a heavy drinking session do you go out of your
way to avoid people?
Never
Sometimes
Often
Nearly Always
14. After a heavy drinking session do you see frightening things that
later you realize were imaginary?
Never
Sometimes
Often
Nearly Always
15. Do you go drinking and the next day and find that you have forgotten
what happened the night before?
Never
Sometimes
Often
Nearly Always
Scoring:
To figure out your score, give yourself zero points for each "never" answer;
One point for "sometimes," Two points for "often," and Three points for "nearly always."
Out of a possible total of 45, the guidelines for interpretation are as follows:
1-9 is considered low dependence; 10-19, medium dependence; and 20 (or greater) high dependence.
