Sample Questions From Substance Abuse Questionnaires

Alcohol Dependence Scale (ADS)

1. How much did you drink the last time you drank?


a. Enough to get high or less
b. Enough to get drunk
c. Enough to pass out


2. Do you often have hangovers on Sunday or Monday mornings?


a. No
b. Yes


3. Have you had the “shakes” when sobering up (hands tremble or shake inside)?

a. No
b. Sometimes
c. Almost every time I drink

Michigan Alcoholism Screening Test (MAST)

1. Do you feel you are a normal drinker? (By normal we mean do you drink less than or as much as most other people.)


2. Have you ever awakened the morning after some drinking the night before and found that you could not remember part of the evening?


3. Does your wife, husband, a parent or other near relative ever worry or complain about your drinking?

National Council On Alcoholism Test

1. Do you occasionally drink heavily after a disappointment, a quarrel or when the boss gives you a hard time?


2. When you have trouble or feel under pressure, do you always drink more heavily than usual?


3. Have you noticed that you are able to handle more liquor than you did when you were first drinking?


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