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IMPORTANT: These instruments are designed to help you evaluate your drinking patterns. They are not diagnostic tests, should not be used to make clinical decisions, and are not substitutes for evaluation by a doctor or other healthcare professional.
The signs of more serious drinking problems such as Alcohol Dependence (Alcoholism) are listed below. In general, the presence of three or more of these signs suggests the possibility of a significant alcohol problem warranting further evaluation, and possibly treatment. The more signs you have, the more serious your drinking problem is likely to be.
Alcohol Use Disorders Test
This test was developed by the World Health Organization (WHO) to identify patterns of hazardous or harmful drinking. In general, higher scores on the AUDIT reflect a greater likelihood of hazardous or harmful drinking, greater severity of alcohol-related problems, and greater need for more treatment.
INSTRUCTIONS: Please read each question carefully. Answer every question, even if it does not apply to you. Compute your TOTAL score by adding up the points next to each of your answers. At the bottom of this page are general guidelines for interpreting your score.
YOUR TOTAL SCORE:
0 to 7:
Scores in this range suggest that your drinking is not causing serious problems or putting you at risk of suffering serious alcohol-related problems at this time. Nonetheless, if you and/or others are concerned about your drinking and would like a professional evaluation, please contact us to schedule an appointment with Dr. Washton
8 to 15:
Scores in this range suggest that your drinking is already causing problems and likely putting you at risk of experiencing more serious alcohol-related problems if it continues at this level. You may want to consider reducing your alcohol consumption or stopping completely, preferably with help from a qualified healthcare professional. Please contact us to schedule a private consultation with Dr. Washton.
16+
Scores in this range, and particularly those above 20, suggest that you are experiencing significant alcohol-related problems and may be alcohol dependent. You would be well advised to consult with a qualified healthcare professional to discuss available treatment options. Please contact us to schedule a private consultation with Dr. Washton.
CONFIDENTIAL
New York Office: (212)-944-8444
New Jersey Office: (609)-497-0433
IMPORTANT: All information you provide on this form is kept strictly confidential. Your information will not be added to any mailing list or passed on to any other individuals or organizations.
Your Private Consultation with
Dr. Washton
You will be seen personally by Dr. Washton for the initial consultation to evaluate your drinking patterns and formulate an individualized treatment plan. Once you have set up your appointment with Dr. Washton, please download, print out, and fill out the New Patient Questionnaire and bring this form with you to the appointment.