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AUDIT Alcohol Use Test Calculator

Score the WHO AUDIT 10-question alcohol use test — total 0–40 with the four WHO risk zones, the AUDIT-C consumption score and the suggested level of intervention.

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 of 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 of your drinking?

9. Have you or someone else been injured because of your drinking?

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

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How it works

AUDIT = Q1–Q8 scored 0–4 + Q9 and Q10 scored 0, 2 or 4; range 0–40. WHO zones: I 0–7 · II 8–15 · III 16–19 · IV 20–40. AUDIT-C = Q1 + Q2 + Q3 (0–12).

The Alcohol Use Disorders Identification Test was developed by the World Health Organization to detect hazardous and harmful drinking and possible dependence in primary care. Questions 1–3 cover consumption, 4–6 dependence symptoms and 7–10 alcohol-related harm. The WHO manual (Babor et al., 2001) links each score range to a level of intervention, from education through brief advice to specialist referral. Points on questions 4–6 or on questions 9–10 deserve attention even when the total is modest.

Worked example

Drinking 2–3 times a week (3), 3 or 4 drinks on a typical day (1), six or more drinks monthly (2), never unable to stop (0), failing expectations less than monthly (1), no morning drinking (0), guilt less than monthly (1), a blackout less than monthly (1), no injuries (0) and a doctor who was concerned, but not in the last year (2): AUDIT = 11 / 40 — Zone II, hazardous drinking, for which simple advice is recommended. The AUDIT-C part (Q1–Q3) is 6 / 12.

Sources: Babor TF et al. AUDIT: Guidelines for Use in Primary Care, 2nd ed. WHO 2001

Frequently asked questions

What is a high AUDIT score?

Scores of 8 or more indicate hazardous or harmful drinking in the WHO manual. Scores of 20 or more (Zone IV) suggest possible alcohol dependence and warrant specialist assessment. Some guidelines use 7 for women and people over 65.

What is the AUDIT-C?

The first three questions on their own (0–12). A score of 4 or more in men or 3 or more in women is a common positive screen for unhealthy drinking.

How many grams is one drink?

The WHO AUDIT assumes a standard drink of 10 g of pure alcohol. Countries with larger standard drinks (14 g in the US) sometimes adapt question 2.

Is the AUDIT a diagnosis?

No. It is a screening test. A diagnosis of alcohol use disorder needs a clinical assessment.

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A screening questionnaire, not a diagnosis — only a qualified clinician can diagnose. If you or someone you care for is having thoughts of self-harm, contact emergency services or a crisis line now.