Alcohol Screening

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All questions marked with a * are mandatory

Personal Details
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Screening Questions
How often during the last year have you found that you were not able to stop drinking once you had started?: *
How often during the last year have you failed to do what was normally expected from you because of drinking?: *
How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?: *
How often during the last year have you had a feeling of guilt or remorse after drinking?: *
How often during the last year have you been unable to remember what happened the night before because you had been drinking?: *
Have you or somebody else been injured as a result of your drinking?: *
Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down?: *

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