Start:  Do you sometimes drink beer, wine, or other alcoholic beverages?

If No: screening complete.  Stop.

If Yes: How many times have you had 4 or more drinks in one day? Answer=50.

Is the Screening positive? Answer=Yes. 

• 1 or more heavy drinking days.
• AUDIT score of >=4 for women.

If No:

• Advise staying within maximum drinking limits.
• Recommend lower limits or abstinence as medically indicated.
• Express openness to talking.
• Rescreen annually.  Screening complete.

If Yes:  Your patient needs additional evaluation.
Question 1:  On average, how many days a week do you have an alcoholic drink? Answer=3.
Question 2:  On a typical drinking day, how many drinks do you have? Answer= 16 for 1 day, and 3 for two days.

Weekly average equals question 1 multiplied by question 2. Answer=22. Go to Step 2.