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*addictreferral*

*alcoholscreening*

*ciwarscale*

*graphalcoholic*

Similar user docs

*anxietymanaged*

*assessalcohol withdraw*

*alcoholismcare*

*alcoholdeto xification*

SEVERITY OF ALCOHOL DEPENDENCE QUESTIONNAIRE (SADQ)

1. Please indicate below the physical symptoms that you have experienced first thing in the morning during typical periods of heavy drinking.

I wake up feeling sweaty.

Almost Never

Sometimes

Often

Nearly Always

My hands shake first thing in the morning.


Almost Never

Sometimes

Often

Nearly Always

My whole body shakes violently first thing in the morning if I don’t have a drink.


Almost Never

Sometimes

Often

Nearly Always

I wake up absolutely drenched in sweat.


Almost Never

Sometimes

Often

Nearly Always

2. The following statements refer to moods and states of mind you may have experienced during these periods of heavy drinking.

I dread waking up in the morning.


Almost Never

Sometimes

Often

Nearly Always

I am afraid of meeting people first thing in the morning.


Almost Never

Sometimes

Often

Nearly Always

I feel at the edge of despair when I first wake up.


Almost Never

Sometimes

Often

Nearly Always

feel very frightened when I wake up.


Almost Never

Sometimes

Often

Nearly Always

3. The following statements refer to morning drinking habits during the recent period when you were drinking heavily, and periods like it.

I like to have a morning drink.


Almost Never

Sometimes

Often

Nearly Always

I always gulp my first few morning drinks down as quickly as possible.

Never

Almost Never

Sometimes

Often

Nearly Always

I drink in the morning to get rid of the shakes.


Almost Never

Sometimes

Often

Nearly Always

I have a very strong craving for a drink when I wake up.


Almost Never

Sometimes

Often

Nearly Always

4. The following statements refer to a degree of alcohol consumption during the recent period of heavy drinking and periods like it.

I drink more than a quarter of a bottle of spirits per day I.E. 4 doubles or 1 bottle of wine or 4 pints of beer/lager.


Almost Never

Sometimes

Often

Nearly Always

I drink more than half a bottle of spirits per day or 2 bottles of wine or 8 pints of beer/lager.


Almost Never

Sometimes

Often

Nearly Always

I drink more than one bottle of spirits per day or 4 bottles of wine or 15 pints of beer/lager.


Almost Never

Sometimes

Often

Nearly Always

5. Imagine the following situations.

You have been completely off drink for a few weeks and you then drink very heavily for two days. How would you feel the morning after those two days of heavy drinking?

I would start to sweat.

Not at all

Slightly

Moderately

Quite a lot

My hands would shake


Not at all

Slightly

Moderately

Quite a lot

My body would shake


Not at all

Slightly

Moderately

Quite a lot

I would be craving for a drink


Not at all

Slightly

Moderately

Quite a lot





TOTAL SCORE

/60

Places of use docs

*addictmood*

*alcoholaudit*

*relapseprevention*

*alcoholrecovery*