Date of Birth:
Read questions as written. Record answers carefully. Begin the Screening by saying,
"Now I am going to ask you some questions about your use of alcoholic beverages during this past year"
Explain what is meant by "alcoholic beverages" by using local examples of beer, wine, vodka, etc. Code
answers in terms of "standard drinks". The answer number values will automatic code by the form.
If positive, go to AUDIT, you
have at least RISKY alcohol use.