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Inputs

• Have you ever felt you should Cut down on your drinking?
• Have people Annoyed you by criticizing your drinking?
• Have you ever felt bad or Guilty about your drinking?
• Have you ever had a drink first thing in the morning (Eye-opener)?

Inputs

• How often do you have a drink containing alcohol?
• How many drinks on a typical drinking day?
• How often do you have 6 or more drinks on one occasion?
• How often in the past year could you not stop drinking once started?
• How often in the past year have you failed to do what was expected because of drinking?
• How often in the past year have you needed a drink in the morning to get going?
• How often in the past year have you felt guilt or remorse after drinking?
• How often in the past year could you not remember what happened while drinking?
• Have you or someone else been injured because of your drinking?
• Has a relative, friend, or health worker suggested you cut down on drinking?