Short Michigan Alcohol Screening Test

yes

no

1

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

2

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

3

Do you ever feel guilty about your drinking?

4

Do friends or relatives think you are a normal drinker?

5

Are you able to stop drinking when you want to?

6

Have you ever attended a meeting of Alcoholics Anonymous?

7

Has drinking ever created problems between you and your wife, husband, a parent, or other close relative?

8

Have you ever gotten into trouble at work or school because of your drinking?

9

Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking?

10

Have you ever gone to anyone for help for your drinking? If yes: was this other than Alcoholics Anonymous or a hospital?

11

Have you ever been in a hospital because of drinking? If YES: Was this for (a) detox; (b) alcoholism treatment; (c) alcohol-related injuries or medical problems, e.g., cirrhosis or physical injury incurred while under the influence of alcohol (car accident, fight, etc.)?

12

Have your ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages?

13

Have you ever been arrested, even for a few hours, because of drunken behavior?

Source: Selzer, M.L.; Vinokur, A.; and Van Rooijen, L. A self-administered Short Michigan Alcoholism Screening Test (SMAST). Journal of Studies on Alcohol 36(1):117-126, 1975.

The Audit Questionnaire Circle the number that comes closest to the patient’s answer.

How often do you have a drink containing alcohol?

(0) Never

(1) Monthly

(2) Two to Four

(3) Two to Three

(4) Four or more

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

(0) 1 or 2

(1) 3 or 4

(2) 5 or 6

(3) 7 or 9

(4) 10 or more

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

(0) Never

(1) Less than Monthly

(2) Monthly

(3) Weekly

(4) Daily or Almost Daily

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

(0) Never

(1) Less than Monthly

(2) Monthly

(3) Weekly

(4) Daily or Almost Daily

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

(0) Never

(1) Less than Monthly

(2) Monthly

(3) Weekly

(4) Daily or Almost Daily

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