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Five-Shot Questionnaire Alcohol Screening Test

A Shortened AUDIT Test

By Buddy T, About.com

Updated: June 13, 2007

About.com Health's Disease and Condition content is reviewed by Steven Gans, MD

The five-shot questionnaire is another short, self-administered test, designed to be used in busy primary healthcare settings to recognize alcoholism in its early stages.

The five-shot test is composed of two questions from the AUDIT test and three questions from the CAGE test and is designed to be a shortened version of the AUDIT test which can be administered quickly in emergency rooms or busy doctors' offices.

The questionnaire is short and easy to score, but it is not as accurate as other available alcohol screening tests. The five-shot questionnaire incorrectly identifies "normal" drinkers as hazardous drinkers 24 percent of the time.

Take the Five-Shot Questionnaire

Points for each answer are posted next to the answer.

1. How often do you have a drink containing alcohol?

(0.0) Never
(0.5) Monthly or less
(1.0) Two to four times a month
(1.5) Two to three times a week
(2.0) Four or more times a week

2. How many drinks containing alcohol do you have on a typical day when you are drinking?

(0.0) 1 or 2
(0.5) 3 or 4
(1.0) 5 or 6
(1.5) 7 to 9
(2.0) 10 or more

3. Have people annoyed you by criticizing your drinking?

(0.0) No
(1.0) Yes

4. Have you ever felt bad or guilty about your drinking?

(0.0) No
(1.0) Yes

5. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hang-over?

(0.0) No
(1.0) Yes

A score of 2.5 or greater indicates possible alcohol misuse and the need for further evaluation. Contact your healthcare provider.

Source:
Alcohol Concern. Primary Care Alcohol Information Service - Screening tools for healthcare settings (PDF). Retrieved 2007.

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