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Online Surveys. Self-validating and self-scoring. See examples below. We can do custom development.

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[ Web sites ][ Logos and graphics ][ Splash Pages ]
[ Online Surveys / Questionnaires ]

Online Surveys and Questionnaires:

 

Alcohol Use Disorders Identification Test (AUDIT)

 
PLEASE READ: This survey is provided by SlickRock Marketing and Design as an educational tool and an example of the services we can provide for the health care industry. We make no claims as to the validity of the results, nor should this be a substitute for professional medical advice. This is a published survey that we have converted into digital form and is self-scoring.

Fill out this survey and it will help you evaluate your drinking patterns. As soon as you finish answering all questions hit the "score survey" button and this survey will assess whether you may have a problem with alcohol based on your answers to the questions below. The self-assessment scoring is done by javascript and thus your answers are stored and scored only within your own computer's memory. No records of individual responses are seen by our servers, and there will be no attempt to identify any visitor to this page.

 
 


The AUDIT survey was developed by the World Health Organization to identify persons whose alcohol consumption has become hazardous or harmful to their health. AUDIT is a 10-item screening questionnaire with 3 questions on the amount and frequency of drinking, 3 questions on alcohol dependence, and 4 questions on problems caused by alcohol.

Please select the answer that is correct for you and then click on the "Score Survey" button below to see a self-assessment based on your answers.

 
 

 

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



 

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



 

3. How often do you have six or more drinks on one occasion?
   

 

4. How often during the last year have you found that you were not able to stop drinking once you had started?
 



   

 

5. How often during the last year have you failed to do what was normally expected from you because of drinking?
 



    6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
   

    7. How often during the last year have you had a feeling of guilt or remorse after drinking?
   

    8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
   

    9. Have you or someone else been injured as a result of your drinking?
   

    10. Has a relative or friend, or a doctor or other health worker been concerned about your drinking or suggested you cut down?
   

     
   

 

 


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